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1891769063
TIMOTHY A BOLYARD
KINGWOOD, WV
NPI
1891769063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 284)
Enumeration Date
2006-02-15
Last Update Date
2007-07-08
Business Address
Mr. TIMOTHY A BOLYARD PA C
411 MORGANTOWN ST
KINGWOOD, WV 26537
Phone number: 304-329-0555
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Mailing Address
Mr. TIMOTHY A BOLYARD PA C
411 MORGANTOWN ST
KINGWOOD, WV 26537
Phone number: 304-329-0555
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