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1053185934
THEODORE HEINTZ
FAIRMONT, WV
NPI
1053185934
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2023-11-10
Last Update Date
2023-11-10
Business Address
THEODORE HEINTZ
511 MARKET ST
FAIRMONT, WV 26554-5242
Phone number: 502-424-7291
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Mailing Address
THEODORE HEINTZ
511 MARKET ST
FAIRMONT, WV 26554-5242
Phone number: 502-424-7291
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