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1831775121
KENNETH FULLER
HUNTINGTON, WV
NPI
1831775121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2021-03-18
Last Update Date
2021-03-18
Business Address
KENNETH FULLER
3588 NICKEL PLATE RD
HUNTINGTON, WV 25702-2158
Phone number: 304-417-8080
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Mailing Address
KENNETH FULLER
3588 NICKEL PLATE RD
HUNTINGTON, WV 25702-2158
Phone number: 304-417-8080
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