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1770190852
PHILLIP KIRT MCCOURT
SUTTON, WV
NPI
1770190852
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Additional Taxonomies
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-09-23
Last Update Date
2020-10-27
Business Address
PHILLIP KIRT MCCOURT
23 SENIOR CENTER DR
SUTTON, WV 26601-9581
Phone number: 304-765-4090
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Mailing Address
PHILLIP KIRT MCCOURT
23 SENIOR CENTER DR
SUTTON, WV 26601-9581
Phone number: 304-765-4090
Copy
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