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1013912187
HAVEN N WALL
LEWISBURG, WV
NPI
1013912187
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: WV 12141)
Enumeration Date
2005-06-16
Last Update Date
2024-12-22
Business Address
-- HAVEN N WALL MD
RR 2 BOX 171C
LEWISBURG, WV 24901-9318
Phone number: 304-645-6083
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Mailing Address
-- HAVEN N WALL MD
PO BOX 1046
LEWISBURG, WV 24901-4046
Phone number: 304-645-6083
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