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1699437699
GAVIN SHAFFER
CHARLESTON, WV
NPI
1699437699
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-10-07
Last Update Date
2021-10-07
Business Address
GAVIN SHAFFER
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200
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Mailing Address
GAVIN SHAFFER
202 ELM ST
BELPRE, OH 45714-2439
Phone number: 304-917-6118
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