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1043043060
SAMUEL J BELLOTTE
CLARKSBURG, WV
NPI
1043043060
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
252Y00000X Early Intervention Provider Agency
(Licence: WV UD001455404001)
Enumeration Date
2024-08-23
Last Update Date
2024-10-19
Business Address
Mr. SAMUEL J BELLOTTE
159 KRAMER DR
CLARKSBURG, WV 26301-4264
Phone number: 304-709-2209
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Mailing Address
Mr. SAMUEL J BELLOTTE
159 KRAMER DR
CLARKSBURG, WV 26301-4264
Phone number: 304-709-2209
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