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1053088518
TAEVON QUINTREL HORTON
MORGANTOWN, WV
NPI
1053088518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-08-24
Last Update Date
2021-08-24
Business Address
TAEVON QUINTREL HORTON
1067 MAPLE DR
MORGANTOWN, WV 26505-0388
Phone number: 304-816-8510
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Mailing Address
TAEVON QUINTREL HORTON
1067 MAPLE DR
MORGANTOWN, WV 26505-0388
Phone number: 304-816-8510
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