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1154381309
ROBERT J TALLAKSEN
MORGANTOWN, WV
NPI
1154381309
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: WV 13427)
Enumeration Date
2006-03-23
Last Update Date
2007-07-08
Business Address
Dr. ROBERT J TALLAKSEN M.D.
101 STADIUM DR
MORGANTOWN, WV 26506-7911
Phone number: 304-598-4000
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Mailing Address
Dr. ROBERT J TALLAKSEN M.D.
PO BOX 897
MORGANTOWN, WV 26507-0897
Phone number: 304-293-7401
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