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1437780855
TIMOTHY JAY SHEVLIN
ITHACA, NY
NPI
1437780855
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-02-04
Last Update Date
2020-02-04
Business Address
TIMOTHY JAY SHEVLIN
953 DANBY RD
ITHACA, NY 14850-7002
Phone number: 267-374-2564
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Mailing Address
TIMOTHY JAY SHEVLIN
1225 COBBLESTONE DR
QUAKERTOWN, PA 18951-2657
Phone number: 267-374-2564
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