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1952057010
LARRY J MARTIN
ELKINS, WV
NPI
1952057010
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-02-28
Last Update Date
2022-02-28
Business Address
LARRY J MARTIN
1408 HARRISON AVE
ELKINS, WV 26241-3325
Phone number: 304-636-4390
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Mailing Address
LARRY J MARTIN
700 HUTTER RD
FISHER, WV 26818-4008
Phone number: 304-257-8809
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