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Individual

BENJAMIN SHIRK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
386 CARLA DR, MOOREFIELD, WV 26836-8631
(304) 434-2299
Mailing address
328 CARLA DR, MOOREFIELD, WV 26836-8631

Taxonomy

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

Other

Enumeration date
09/10/2020
Last updated
09/10/2020
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  • EDI platform