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1003432980
TROY MUMMA
DAVIS, WV
NPI
1003432980
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: RBT-20-123405)
Enumeration Date
2020-06-17
Last Update Date
2020-06-17
Business Address
TROY MUMMA
1085 CANAAN HEIGHTS RD
DAVIS, WV 26260-8007
Phone number: 304-851-6643
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Mailing Address
TROY MUMMA
1085 CANAAN HEIGHTS RD
DAVIS, WV 26260-8007
Phone number: 304-851-6643
Copy
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