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1033841721
TIMOTHY STANLEY
OWENSBORO, KY
NPI
1033841721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: KY 261293)
Enumeration Date
2022-06-30
Last Update Date
2022-06-30
Business Address
Mr. TIMOTHY STANLEY
5031 FREDERICA ST
OWENSBORO, KY 42301-7410
Phone number: 270-685-3090
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Mailing Address
Mr. TIMOTHY STANLEY
5031 FREDERICA ST
OWENSBORO, KY 42301-7410
Phone number: 270-685-3090
Copy
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