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1104812304
ROGELIO O BANTUG
SISTERSVILLE, WV
NPI
1104812304
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 10665)
Enumeration Date
2005-09-22
Last Update Date
2023-08-09
Business Address
ROGELIO O BANTUG MD
314 S WELLS ST
SISTERSVILLE, WV 26175-1098
Phone number: 304-447-2030
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Mailing Address
ROGELIO O BANTUG MD
314 S WELLS ST
SISTERSVILLE, WV 26175-1098
Phone number: 304-447-2030
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