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1801509997
BURNETT L BRAKE
CHARLESTON, WV
NPI
1801509997
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2023-01-04
Last Update Date
2023-01-04
Business Address
BURNETT L BRAKE PRSS
1511 WASHINGTON ST E
CHARLESTON, WV 25311-2505
Phone number: 304-741-7106
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Mailing Address
BURNETT L BRAKE PRSS
1514 KANAWHA BLVD W
CHARLESTON, WV 25387-2533
Phone number: 304-768-7688
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