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1376208223
JONATHAN DELLIGATTI
FAIRMONT, WV
NPI
1376208223
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-11-05
Last Update Date
2021-11-05
Business Address
JONATHAN DELLIGATTI
192 COAL BANK HILL RD
FAIRMONT, WV 26554-8412
Phone number: 304-612-7733
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Mailing Address
JONATHAN DELLIGATTI
192 COAL BANK HILL RD
FAIRMONT, WV 26554-8412
Phone number: 304-612-7733
Copy
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