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1730960659
BRIAN THOMAS ENGRAVALLE
MOUNDSVILLE, WV
NPI
1730960659
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-10-06
Last Update Date
2023-10-06
Business Address
BRIAN THOMAS ENGRAVALLE
3759 MCCREARYS RIDGE RD
MOUNDSVILLE, WV 26041-1697
Phone number: 816-504-7556
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Mailing Address
BRIAN THOMAS ENGRAVALLE
3759 MCCREARYS RIDGE RD
MOUNDSVILLE, WV 26041-1697
Phone number: 816-504-7556
Copy
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