ERNEST SHAW

LOGAN, WV
NPI1841986361
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376J00000X Homemaker
Enumeration Date2023-04-17
Last Update Date2023-04-17
Business Address
ERNEST SHAW
699 STRATTON ST
LOGAN, WV 25601-4020
Phone number: 304-752-6868
Mailing Address
ERNEST SHAW
PO BOX 1346
LOGAN, WV 25601-1346
Phone number: 304-752-6868
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