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Individual

ANDREW COVINGTON BLACK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
103 WEST 5TH AVENUE, RANSON, WV 25438
(304) 725-4044
Mailing address
103 WEST 5TH AVENUE, RANSON, WV 25438
(304) 725-4044

Taxonomy

Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary

Other

Enumeration date
10/11/2022
Last updated
10/11/2022
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Product
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