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1912575887
SIMEON NITTALA
LEWISBURG, WV
NPI
1912575887
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-06-16
Last Update Date
2021-06-16
Business Address
SIMEON NITTALA DO
1464 JEFFERSON ST N
LEWISBURG, WV 24901-1380
Phone number: 304-645-3220
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Mailing Address
SIMEON NITTALA DO
150 ALBION AVE
ROSELLE, IL 60172-1075
Phone number: 630-456-6254
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