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1184707978
DANIEL J DEFEO
MORGANTOWN, WV
NPI
1184707978
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 36585)
Enumeration Date
2006-10-23
Last Update Date
2010-11-23
Business Address
-- DANIEL J DEFEO
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-4800
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Mailing Address
-- DANIEL J DEFEO
PO BOX 897
MORGANTOWN, WV 26507-0897
Phone number: 304-293-7401
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