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1043095599
BILLY JOE SOUTHERN
BLUEFIELD, WV
NPI
1043095599
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2023-08-31
Last Update Date
2023-08-31
Business Address
BILLY JOE SOUTHERN
3873 MAPLE ACRES RD
BLUEFIELD, WV 24701-5055
Phone number: 304-324-8819
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Mailing Address
BILLY JOE SOUTHERN
3873 MAPLE ACRES RD
BLUEFIELD, WV 24701-5055
Phone number: 304-324-8819
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