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1730835547
LARRY DAYTON MULLINS
MOUNT NEBO, WV
NPI
1730835547
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-03-02
Last Update Date
2022-03-02
Business Address
LARRY DAYTON MULLINS
785 SUMMERSVILLE LAKE RD
MOUNT NEBO, WV 26679-9203
Phone number: 304-883-2334
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Mailing Address
LARRY DAYTON MULLINS
PO BOX 569
MOUNT NEBO, WV 26679-0569
Phone number: 304-883-2334
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