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1003810631
ROMEO R EDNACOT
RONCEVERTE, WV
NPI
1003810631
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: WV 10073)
Enumeration Date
2005-06-10
Last Update Date
2007-07-09
Business Address
-- ROMEO R EDNACOT MD
207 MAPLEWOOD AVE
RONCEVERTE, WV 24970-1335
Phone number: 304-645-7007
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Mailing Address
-- ROMEO R EDNACOT MD
PO BOX 3705
CHARLESTON, WV 25337-3705
Phone number: 304-536-5030
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