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1053390351
LAURA JEAN STAVRAKIS
CLARKSBURG, WV
NPI
1053390351
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Other Name
LAURA JEAN CONLEY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 01156)
Enumeration Date
2006-01-13
Last Update Date
2015-01-23
Business Address
Mrs. LAURA JEAN STAVRAKIS PAC
399 EMILY DR
CLARKSBURG, WV 26301-5505
Phone number: 304-624-4315
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Mailing Address
Mrs. LAURA JEAN STAVRAKIS PAC
125 N 6TH ST
CLARKSBURG, WV 26301-2665
Phone number: 304-624-7200
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