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1952907453
ANTHONY J DECARLO
CHARLESTON, WV
NPI
1952907453
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: WV 48239)
Enumeration Date
2020-12-09
Last Update Date
2020-12-09
Business Address
ANTHONY J DECARLO
4510 PENNSYLVANIA AVE STE C
CHARLESTON, WV 25302-4835
Phone number: 304-965-9081
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Mailing Address
ANTHONY J DECARLO
248 BURGESS DR
CHARLESTON, WV 25312-8143
Phone number: 304-932-6743
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