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1841314069
DONNIE LEE BROADWATER
BIG STONE GAP, VA
NPI
1841314069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2007-03-16
Last Update Date
2007-07-08
Business Address
Mr. DONNIE LEE BROADWATER
622 POWELL AVE DEVELOPMENTAL SERVICE
BIG STONE GAP, VA 24219
Phone number: 276-523-0682
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Mailing Address
Mr. DONNIE LEE BROADWATER
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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