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Individual
TIMOTHY LEE MCMILLION
Active
Individual
TIMOTHY LEE MCMILLION
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPN
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
12146
WV
Other
Enumeration date
09/15/2022
Last updated
09/15/2022
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