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1154420990
STEPHANUS JOHANNES SERFONTEIN
PT PLEASANT, WV
NPI
1154420990
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WV 21778)
Enumeration Date
2006-09-21
Last Update Date
2015-12-22
Business Address
Dr. STEPHANUS JOHANNES SERFONTEIN MD
2418 JEFFERSON AVE
PT PLEASANT, WV 25550-1528
Phone number: 304-675-6835
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Mailing Address
Dr. STEPHANUS JOHANNES SERFONTEIN MD
3200 MACCORKLE SEAVE B16
CHARLESTON, WV 25304-1227
Phone number: 304-388-5848
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