JASPER S BANZON

DUNBAR, WV
NPI1730200601
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: WV  1092)
Enumeration Date2007-04-02
Last Update Date2013-09-09
Business Address
Mr. JASPER S BANZON OTR
1313 DUNBAR AVE
DUNBAR, WV 25064-2920
Phone number: 304-654-6892
Mailing Address
Mr. JASPER S BANZON OTR
P.O. BOX 398 5585 MADISON CREEK RD.
SALT ROCK, WV 25559
Phone number: 304-654-6892
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