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1891389128
JOHN ANTHONY SUPTIC
BECKLEY, WV
NPI
1891389128
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2021-02-26
Last Update Date
2021-02-26
Business Address
JOHN ANTHONY SUPTIC
4036 ROBERT C BYRD DR
BECKLEY, WV 25801-2204
Phone number: 304-575-2393
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Mailing Address
JOHN ANTHONY SUPTIC
1905 SWEENEYSBURG RD
BECKLEY, WV 25801-9705
Phone number: 304-575-2393
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