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1982193397
TIMOTHY DWAYNE FRALEY
SOUTH POINT, OH
NPI
1982193397
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-05-02
Last Update Date
2018-05-02
Business Address
TIMOTHY DWAYNE FRALEY
178 PRIVATE ROAD 19423
SOUTH POINT, OH 45680-8831
Phone number: 740-451-0741
Copy
Mailing Address
TIMOTHY DWAYNE FRALEY
178 PRIVATE ROAD 19423
SOUTH POINT, OH 45680-8831
Phone number: 740-451-0741
Copy
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