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1598537045
SIMON BARRETT BALLENGEE
HUNTINGTON, WV
NPI
1598537045
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2023-10-27
Last Update Date
2024-03-20
Business Address
SIMON BARRETT BALLENGEE
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number: 304-525-8014
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Mailing Address
SIMON BARRETT BALLENGEE
10 6TH AVE W
HUNTINGTON, WV 25701-0028
Phone number:
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