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1790384675
GARY MCCULLOUGH
BUCKHANNON, WV
NPI
1790384675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2020-10-21
Last Update Date
2020-10-21
Business Address
GARY MCCULLOUGH
86 E MAIN ST STE B
BUCKHANNON, WV 26201-2864
Phone number: 304-472-4227
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Mailing Address
GARY MCCULLOUGH
86 E MAIN ST STE B
BUCKHANNON, WV 26201-2864
Phone number: 304-472-4227
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