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1225061294
DANA RENICK
RONCEVERTE, WV
NPI
1225061294
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV DO-154)
Enumeration Date
2006-07-09
Last Update Date
2007-07-08
Business Address
Ms. DANA RENICK PA-C
200 MAPLEWOOD AVE
RONCEVERTE, WV 24970-1334
Phone number: 304-647-1161
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Mailing Address
Ms. DANA RENICK PA-C
HC 68 BOX 7
RENICK, WV 24966-9732
Phone number:
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