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1841944402
CARSON BRYAN
SAINT ALBANS, WV
NPI
1841944402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
(Licence: WV 21-971)
Enumeration Date
2022-02-11
Last Update Date
2022-02-11
Business Address
CARSON BRYAN JD, PRSS
2333 MACCORKLE AVE
SAINT ALBANS, WV 25177-2073
Phone number: 681-205-8548
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Mailing Address
CARSON BRYAN JD, PRSS
2333 MACCORKLE AVE
SAINT ALBANS, WV 25177-2073
Phone number: 681-205-8548
Copy
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