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1740907591
JEFFREY KIRK
CHARLESTON, WV
NPI
1740907591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WV 20549)
Enumeration Date
2022-10-24
Last Update Date
2022-10-24
Business Address
JEFFREY KIRK LPN
400 TRACY WAY
CHARLESTON, WV 25311-1280
Phone number: 304-720-0205
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Mailing Address
JEFFREY KIRK LPN
400 TRACY WAY
CHARLESTON, WV 25311-1280
Phone number: 302-720-0205
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