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1114402328
TARA LYNN STAATS
PARKERSBURG, WV
NPI
1114402328
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV APRN70596-NP-C)
Enumeration Date
2018-10-03
Last Update Date
2018-10-03
Business Address
TARA LYNN STAATS NP-C
4 ROSEMAR CIR
PARKERSBURG, WV 26104-1219
Phone number: 304-865-5130
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Mailing Address
TARA LYNN STAATS NP-C
2407 DIVISION STREET EXT
PARKERSBURG, WV 26101-9390
Phone number: 304-481-8272
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