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Individual

ALVIS GWINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
(304) 256-7160
Mailing address
101 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-7100
(304) 256-7160

Taxonomy

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

Other

Enumeration date
12/28/2020
Last updated
12/28/2020
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