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1750012183
CHARLES DRAKE
SOUTH CHARLESTON, WV
NPI
1750012183
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-06-17
Last Update Date
2022-06-17
Business Address
CHARLES DRAKE
325 4TH AVE STE 2
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-5085
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Mailing Address
CHARLES DRAKE
325 4TH AVE STE 2
SOUTH CHARLESTON, WV 25303-1266
Phone number: 304-744-5085
Copy
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