GARY CHAMP

CLAY, WV
NPI1790371029
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2020-12-21
Last Update Date2020-12-21
Business Address
GARY CHAMP
172 MAIN STREET
CLAY, WV 25043-2504
Phone number: 304-587-4251
Mailing Address
GARY CHAMP
PO BOX 455
CLAY, WV 25043-0455
Phone number:
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