MARIO DAVID BLOUNT

BRIDGEPORT, WV
NPI1124340427
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WV  RP0004421)
Enumeration Date2010-02-28
Last Update Date2010-02-28
Business Address
-- MARIO DAVID BLOUNT R.Ph.
754 BRIGHTRIDGE DR
BRIDGEPORT, WV 26330-1170
Phone number: 304-842-7257
Mailing Address
-- MARIO DAVID BLOUNT R.Ph.
754 BRIGHTRIDGE DR
BRIDGEPORT, WV 26330-1170
Phone number: 304-842-7257
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