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1063272185
NICHOLAS VON TATE
MORGANTOWN, WV
NPI
1063272185
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
NICHOLAS VON TATE
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506-1200
Phone number: 304-293-2436
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Mailing Address
NICHOLAS VON TATE
300 MYKAYLA LN
HARRISVILLE, WV 26362-1451
Phone number: 304-834-8882
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