KELLY JO HAZUKA

FAIRMONT, WV
NPI1205188240
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: WV  58344)
Enumeration Date2012-10-14
Last Update Date2017-10-05
Business Address
KELLY JO HAZUKA NP-C
100 AVERY OLIVIA WAY STE B
FAIRMONT, WV 26554-9375
Phone number: 304-333-1650
Mailing Address
KELLY JO HAZUKA NP-C
100 AVERY OLIVIA WAY STE C
FAIRMONT, WV 26554-9375
Phone number: 304-363-7000
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