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1750809067
TIMOTHY DALTON ROBERTSON
TUSCALOOSA, AL
NPI
1750809067
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-09-07
Last Update Date
2017-09-07
Business Address
Mr. TIMOTHY DALTON ROBERTSON
718 MAGNOLIA DR
TUSCALOOSA, AL 35487-0001
Phone number: 256-478-0212
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Mailing Address
Mr. TIMOTHY DALTON ROBERTSON
538 HARGROVE RD
TUSCALOOSA, AL 35401-4930
Phone number: 256-478-0212
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