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1588270243
TIMOTHY SMITH
MOUNDSVILLE, WV
NPI
1588270243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2020-09-18
Last Update Date
2020-10-20
Business Address
TIMOTHY SMITH
87 SWIERKOS DR
MOUNDSVILLE, WV 26041-4209
Phone number: 304-843-0910
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Mailing Address
TIMOTHY SMITH
129 STATION LN
WHEELING, WV 26003-9352
Phone number: 304-843-0910
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