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1205006962
TRI-STATE EECP
HUNTINGTON, WV
NPI
1205006962
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Entity Type
Organization
Authorized Contact
JASON H ROSS
Manager
304-522-3773
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WV 18236)
Enumeration Date
2008-03-08
Last Update Date
2008-06-07
Business Address
TRI-STATE EECP
2900 1ST AVE
HUNTINGTON, WV 25702-1241
Phone number: 304-522-3773
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Mailing Address
TRI-STATE EECP
PO BOX 997
HUNTINGTON, WV 25713-0997
Phone number: 304-522-3773
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