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1023085552
TERRY L STAKE
WHEELING, WV
NPI
1023085552
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: WV 14313)
Enumeration Date
2006-03-03
Last Update Date
2011-07-08
Business Address
-- TERRY L STAKE M.D.
1 MEDICAL PARK
WHEELING, WV 26003-6379
Phone number: 304-243-3270
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Mailing Address
-- TERRY L STAKE M.D.
PO BOX 5307
LIMA, OH 45802-5307
Phone number: 419-224-5707
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