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1770170581
BRETT M BALLENGEE
MILTON, WV
NPI
1770170581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-28
Last Update Date
2020-12-28
Business Address
BRETT M BALLENGEE
1707 US ROUTE 60 W
MILTON, WV 25541-1133
Phone number: 304-743-8160
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Mailing Address
BRETT M BALLENGEE
1707 US ROUTE 60 W
MILTON, WV 25541-1133
Phone number: 304-743-8160
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