SAMUEL EVANS

BEAVER, WV
NPI1710194998
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WV  26735)
Enumeration Date2007-05-17
Last Update Date2007-07-08
Business Address
-- SAMUEL EVANS LPN
175 PHILPOT LANE
BEAVER, WV 25813
Phone number: 304-254-9262
Mailing Address
-- SAMUEL EVANS LPN
5 LAKE RD
DANIELS, WV 25832-9709
Phone number: 304-253-2794
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