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1184705170
JEFFREY BLAKE DEBORD
MARTINSBURG, WV
NPI
1184705170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WV 1177)
Enumeration Date
2006-10-18
Last Update Date
2009-09-25
Business Address
-- JEFFREY BLAKE DEBORD D.O.
65 HEALTH CARE LN
MARTINSBURG, WV 25401-4006
Phone number: 304-263-6997
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Mailing Address
-- JEFFREY BLAKE DEBORD D.O.
65 HEALTH CARE LN
MARTINSBURG, WV 25401-4006
Phone number: 304-263-6997
Copy
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