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1891395331
BRADLEY LAYTON CLARK
MEADOW BRIDGE, WV
NPI
1891395331
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-10-26
Last Update Date
2023-01-09
Business Address
BRADLEY LAYTON CLARK
8620 SEWELL CREEK RD
MEADOW BRIDGE, WV 25976-7674
Phone number: 304-719-7849
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Mailing Address
BRADLEY LAYTON CLARK
8620 SEWELL CREEK RD
MEADOW BRIDGE, WV 25976-7674
Phone number: 304-719-7849
Copy
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