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1770349144
JOHN RYAN HENSON
BRIDGEPORT, WV
NPI
1770349144
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-02-23
Last Update Date
2024-02-23
Business Address
JOHN RYAN HENSON
65 PROFESSIONAL PL STE 102
BRIDGEPORT, WV 26330-0259
Phone number: 304-848-5770
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Mailing Address
JOHN RYAN HENSON
330 DEMAIN AVE
MORGANTOWN, WV 26501-6071
Phone number: 304-435-1884
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