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1063688265
AUDRA SUZANNE ROUSTER
MORGANTOWN, WV
NPI
1063688265
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2080P0206X Pediatrics, Pediatric Gastroenterology
(Licence: WV 25970)
Enumeration Date
2008-05-07
Last Update Date
2022-04-13
Business Address
AUDRA SUZANNE ROUSTER M.D.
1 MEDICAL CENTER DR 9214
MORGANTOWN, WV 26506-9214
Phone number: 304-293-1017
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Mailing Address
AUDRA SUZANNE ROUSTER M.D.
1 MEDICAL CENTER DR PO BOX 9214
MORGANTOWN, WV 26506-9214
Phone number: 304-293-1017
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