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1215610191
SHANE CIUCCI
HUNTINGTON, WV
NPI
1215610191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2023-08-08
Last Update Date
2023-08-08
Business Address
SHANE CIUCCI
1540 SPRING VALLEY DR
HUNTINGTON, WV 25704-9501
Phone number: 304-691-1700
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Mailing Address
SHANE CIUCCI
15074 WESTBROOK CT
LIVONIA, MI 48154-5119
Phone number:
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