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1962097204
MARIO HERNANDEZ
SOUTH CHARLESTON, WV
NPI
1962097204
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2021-03-09
Last Update Date
2021-03-09
Business Address
MARIO HERNANDEZ
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number: 304-744-4081
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Mailing Address
MARIO HERNANDEZ
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number: 304-744-4081
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