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1154917003
CHARLES TIMOTHY HOLLEY
HUNTINGTON, WV
NPI
1154917003
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-12-15
Last Update Date
2020-12-17
Business Address
CHARLES TIMOTHY HOLLEY
724 10TH AVE
HUNTINGTON, WV 25701-2733
Phone number: 304-939-0171
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Mailing Address
CHARLES TIMOTHY HOLLEY
724 10TH AVE
HUNTINGTON, WV 25701-2733
Phone number: 304-939-0171
Copy
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