JOHN ANTHONY SUPTIC

BECKLEY, WV
NPI1891389128
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy3747P1801X Technician Personal Care Attendant
Enumeration Date2021-02-26
Last Update Date2021-02-26
Business Address
JOHN ANTHONY SUPTIC
4036 ROBERT C BYRD DR
BECKLEY, WV 25801-2204
Phone number: 304-575-2393
Mailing Address
JOHN ANTHONY SUPTIC
1905 SWEENEYSBURG RD
BECKLEY, WV 25801-9705
Phone number: 304-575-2393
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