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1952064016
WALTER RAY WILSON
FAIRMONT, WV
NPI
1952064016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2021-10-15
Last Update Date
2021-10-15
Business Address
WALTER RAY WILSON
352 HAMPTON RD
FAIRMONT, WV 26554-4605
Phone number: 304-657-0310
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Mailing Address
WALTER RAY WILSON
352 HAMPTON RD
FAIRMONT, WV 26554-4605
Phone number: 304-657-0310
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