LARRY EUGENE ZICKEFOOSE

CLARKSBURG, WV
NPI1851257281
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician, Personal Care Attendant
Enumeration Date2025-12-30
Last Update Date2025-12-30
Business Address
LARRY EUGENE ZICKEFOOSE
5207 MAPLE ST
CLARKSBURG, WV 26301-6930
Phone number: 304-203-8014
Mailing Address
LARRY EUGENE ZICKEFOOSE
5207 MAPLE ST
CLARKSBURG, WV 26301-6930
Phone number: 304-203-8014
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