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Case Number and Status

Case Number: I-200-14324-660775

Submitted on:

CERTIFIED

on:

Employment

From: 2015-01-01

To: 2017-12-31 (1,095 days)

Address

327 Medical Park Dr N/a
Bridgeport, WV 26330

Phone

6813421608


Attorney Summary

Location
Washington, DC

Job Summary

Job Title
Physician Surgeon
City and State
Bridgeport, WV
County
Harrison

Soc Code
29-1069.00
Naics Code
Industry Code
622110