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1114981024
ERNESTO MANUEL
LOGAN, WV
NPI
1114981024
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 14503)
Enumeration Date
2006-04-17
Last Update Date
2014-03-18
Business Address
-- ERNESTO MANUEL M.D.
396 DINGESS ST
LOGAN, WV 25601-3624
Phone number: 304-831-1700
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Mailing Address
-- ERNESTO MANUEL M.D.
396 DINGESS ST
LOGAN, WV 25601-3624
Phone number: 304-831-1700
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