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1174012611
KENT ALAN RIVAS
HUNTINGTON, WV
NPI
1174012611
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WV Pending)
Enumeration Date
2018-05-09
Last Update Date
2021-07-29
Business Address
KENT ALAN RIVAS DO
2900 1ST AVE RM 1025
HUNTINGTON, WV 25702-1241
Phone number: 304-399-7484
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Mailing Address
KENT ALAN RIVAS DO
PO BOX 417
WHITE SULPHUR SPRINGS, WV 24986-0417
Phone number: 304-536-5030
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