JACOB TAZEWELL PHILLIPS

COAL CITY, WV
NPI1891309522
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2020-09-01
Last Update Date2020-09-01
Business Address
JACOB TAZEWELL PHILLIPS
433 ABNEY RD
COAL CITY, WV 25823
Phone number: 304-683-9140
Mailing Address
JACOB TAZEWELL PHILLIPS
433 ABNEY RD
COAL CITY, WV 25823
Phone number: 304-683-9140
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