NPI
LastName
FirstName
MidName
Organization
Mailing Address
City
State
Zip
1699873240
INTEGRATED HEALTH CARE PROVIDERS, INC.
415 MORRIS ST STE 304
CHARLESTON
WV
253011853
1063519445
GANTT
PICKENS
A.
830 PENNSYLVANIA AVE
CHARLESTON
WV
25302
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