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1972288595
TERRY DESPER
BECKLEY, WV
NPI
1972288595
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV 001194)
Enumeration Date
2023-06-20
Last Update Date
2023-06-20
Business Address
TERRY DESPER PTA
112 MELLON ST
BECKLEY, WV 25801-3536
Phone number: 304-255-5263
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Mailing Address
TERRY DESPER PTA
5231 WEBSTER RD
UPPERGLADE, WV 26266-9713
Phone number: 304-644-6153
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