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1053517011
LISA ANN WAUGH
S CHARLESTON, WV
NPI
1053517011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
204C00000X Neuromusculoskeletal Medicine, Sports Medicine
(Licence: WV 0388)
Enumeration Date
2007-06-26
Last Update Date
2007-07-08
Business Address
-- LISA ANN WAUGH LMT
1109 JEFFERSON RD
S CHARLESTON, WV 25309-9780
Phone number: 304-610-7888
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Mailing Address
-- LISA ANN WAUGH LMT
2939 SHADYSIDE RD
ST ALBANS, WV 25177
Phone number: 304-610-7888
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