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1750661559
TIMOTHY D. MCKENNA
SPARKS, NV
NPI
1750661559
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2011-08-24
Last Update Date
2012-04-16
Business Address
Mr. TIMOTHY D. MCKENNA B.A.
480 GALLETTI WY 8B & 8C
SPARKS, NV 89436
Phone number: 775-324-1490
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Mailing Address
Mr. TIMOTHY D. MCKENNA B.A.
480 GALLETTI WY 8B & 8C
SPARKS, NV 89436
Phone number: 775-324-1490
Copy
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