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1982352787
CHARLES MICHAEL SPONAUGLE
ELKINS, WV
NPI
1982352787
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2022-03-11
Last Update Date
2022-03-11
Business Address
CHARLES MICHAEL SPONAUGLE
#1 FIFTH ST
ELKINS, WV 26241-2624
Phone number: 304-636-4747
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Mailing Address
CHARLES MICHAEL SPONAUGLE
PO BOX 727
ELKINS, WV 26241-0727
Phone number: 304-636-4747
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