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Case Number and Status

Case Number: I-200-16054-623800

Submitted on:

CERTIFIED

on:

Employment

From: 2016-09-01

To: 2019-08-31 (1,094 days)

Address

1325 Locust Ave.
Fairmont, WV 26554

Phone

3043677490


Attorney Summary

Location
New York, NY

Job Summary

Job Title
Physician
City and State
Fairmont, WV
County
Marion

Soc Code
29-1069.00
Naics Code
Industry Code
6221