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1992300131
CLYDE SHINAULT III
SOUTH CHARLESTON, WV
NPI
1992300131
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-12-04
Last Update Date
2020-12-04
Business Address
CLYDE SHINAULT III
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number: 304-744-4081
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Mailing Address
CLYDE SHINAULT III
144 7TH AVE
SOUTH CHARLESTON, WV 25303-1452
Phone number:
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