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1790492866
SAMUEL MCCOLLOCH
CHARLESTON, WV
NPI
1790492866
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2022-10-28
Last Update Date
2022-10-28
Business Address
SAMUEL MCCOLLOCH
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200
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Mailing Address
SAMUEL MCCOLLOCH
200 ASSOCIATION DR STE 130
CHARLESTON, WV 25311-1277
Phone number: 304-988-4200
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