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1881299436
ETHAN WAYNE HALL
BECKLEY, WV
NPI
1881299436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-12-02
Last Update Date
2023-01-10
Business Address
ETHAN WAYNE HALL
529 NEWPORT CT
BECKLEY, WV 25801-2177
Phone number: 304-673-2931
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Mailing Address
ETHAN WAYNE HALL
529 NEWPORT CT
BECKLEY, WV 25801-2177
Phone number: 304-673-2931
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