CLARENCE G FAULK

KENOVA, WV
NPI1952037954
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2022-08-01
Last Update Date2022-08-01
Business Address
CLARENCE G FAULK
802 OAK ST
KENOVA, WV 25530-1519
Phone number: 304-908-1056
Mailing Address
CLARENCE G FAULK
802 OAK ST
KENOVA, WV 25530-1519
Phone number: 304-908-1056
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