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1023634193
JUSTIN LEWIS THOMAS
MAXWELTON, WV
NPI
1023634193
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
373H00000X Day Training/Habilitation Specialist
Enumeration Date
2020-06-24
Last Update Date
2020-06-24
Business Address
JUSTIN LEWIS THOMAS
804 INDUSTRIAL PARK RD
MAXWELTON, WV 24957-8066
Phone number: 304-497-0500
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Mailing Address
JUSTIN LEWIS THOMAS
28 WILLOW LN
UNION, WV 24983-8408
Phone number: 304-661-6959
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