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1104931906
DONNA G SOUTHERS
PRINCETON, WV
NPI
1104931906
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 292)
Enumeration Date
2006-08-20
Last Update Date
2017-01-12
Business Address
-- DONNA G SOUTHERS PA
904 HARRISON ST
PRINCETON, WV 24740-3011
Phone number: 304-431-7100
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Mailing Address
-- DONNA G SOUTHERS PA
PO BOX 1030
PRINCETON, WV 24740-1030
Phone number: 304-431-9998
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