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1639687155
CODY ALLEN WATERS
FAIRMONT, WV
NPI
1639687155
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: WV 003879)
Enumeration Date
2018-01-18
Last Update Date
2018-01-18
Business Address
CODY ALLEN WATERS
1539 COUNTRY CLUB RD
FAIRMONT, WV 26554-1306
Phone number: 304-366-9100
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Mailing Address
CODY ALLEN WATERS
837 MONONGALIA AVE
MORGANTOWN, WV 26505-5732
Phone number: 724-713-8106
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