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1821609223
HERMAN LIGHT
MILL CREEK, WV
NPI
1821609223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-08-11
Last Update Date
2020-08-11
Business Address
HERMAN LIGHT
116 POND ST
MILL CREEK, WV 26280
Phone number: 304-335-7420
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Mailing Address
HERMAN LIGHT
218 3RD ST
ELKINS, WV 26241-3833
Phone number: 304-636-5195
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