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1164405791
SHANNA MICHELE AUTREY
PRINCETON, WV
NPI
1164405791
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 566)
Enumeration Date
2005-11-29
Last Update Date
2012-05-04
Business Address
Mrs. SHANNA MICHELE AUTREY PA-C
160 UNDERCLIFF TER
PRINCETON, WV 24740-2174
Phone number: 304-431-3010
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Mailing Address
Mrs. SHANNA MICHELE AUTREY PA-C
160 UNDERCLIFF TER
PRINCETON, WV 24740-2174
Phone number: 304-431-3010
Copy
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