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1154057032
MARK THOMAS GARAN
WEIRTON, WV
NPI
1154057032
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WV 112744)
Enumeration Date
2022-07-25
Last Update Date
2022-07-25
Business Address
MARK THOMAS GARAN AGACNP-BC
243 THREE SPRINGS DR STE 5A
WEIRTON, WV 26062-3839
Phone number: 740-792-4220
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Mailing Address
MARK THOMAS GARAN AGACNP-BC
68 FINCH AVE
WHEELING, WV 26003-2626
Phone number: 304-224-8456
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