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1235414418
TIMOTHY AUSTIN DEETER
BELLEFONTE, PA
NPI
1235414418
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2011-10-19
Last Update Date
2011-10-19
Business Address
Mr. TIMOTHY AUSTIN DEETER
206 W HIGH ST
BELLEFONTE, PA 16823-1302
Phone number: 814-353-3151
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Mailing Address
Mr. TIMOTHY AUSTIN DEETER
206 W HIGH ST
BELLEFONTE, PA 16823-1302
Phone number: 814-353-3151
Copy
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