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1982311692
GLENN DALE
ELKINS, WV
NPI
1982311692
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-11-02
Last Update Date
2022-11-02
Business Address
GLENN DALE
2 ASHLYNN DR
ELKINS, WV 26241-1017
Phone number: 304-516-2262
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Mailing Address
GLENN DALE
501 WILSON LN
ELKINS, WV 26241-5216
Phone number: 304-636-9326
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