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Individual

ANNETTE TAYLOR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 SOURWOOD LN, CANVAS, WV 26662
(304) 619-9341
Mailing address
PO BOX 195, SUMMERSVILLE, WV 26651-0195

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary

Other

Enumeration date
03/04/2021
Last updated
03/04/2021
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