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Individual

CHARLES HALL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
X

Contact information

Practice address
3102 32ND STREET, NITRO, WV 25143
(304) 553-3303
Mailing address
27 MAPLE GLEN TRL, SUMERCO, WV 25567-9536

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Enumeration date
06/30/2025
Last updated
06/30/2025
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