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1104919828
LEAH D PETRUNGER
PRINCETON, WV
NPI
1104919828
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 564)
Enumeration Date
2006-10-02
Last Update Date
2016-12-08
Business Address
-- LEAH D PETRUNGER PA-C
150 MISTY LANE
PRINCETON, WV 24740
Phone number: 304-425-4040
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Mailing Address
-- LEAH D PETRUNGER PA-C
300 HUNTER PARK
PRINCETON, WV 24740-2533
Phone number: 304-920-5122
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