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1104868231
TIMOTHY ALAN PRESCOTT
PRINCETON, WV
NPI
1104868231
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 934)
Enumeration Date
2006-06-12
Last Update Date
2017-10-20
Business Address
Mr. TIMOTHY ALAN PRESCOTT PAC
122 12TH STREET EXT PRINCETON COMMUNITY HOSPITAL
PRINCETON, WV 24740-2352
Phone number: 304-487-7275
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Mailing Address
Mr. TIMOTHY ALAN PRESCOTT PAC
112 12TH ST
PRINCETON, WV 24740-2312
Phone number: 865-985-7258
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