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1972215234
GARY ELLIS
HUNTINGTON, WV
NPI
1972215234
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-12-19
Last Update Date
2022-12-19
Business Address
Mr. GARY ELLIS
900 20TH ST
HUNTINGTON, WV 25703-1810
Phone number: 681-378-3908
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Mailing Address
Mr. GARY ELLIS
243 8TH AVE W APT 8
HUNTINGTON, WV 25701-2541
Phone number: 304-840-6328
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