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1225716376
JUSTIN ANDREW SMITH
CHARLESTON, WV
NPI
1225716376
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: WV 117094)
Enumeration Date
2023-07-10
Last Update Date
2023-07-10
Business Address
JUSTIN ANDREW SMITH APRN-CNP
924 CROSS LANES DR
CHARLESTON, WV 25313-1315
Phone number: 304-776-9872
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Mailing Address
JUSTIN ANDREW SMITH APRN-CNP
5102 STAUNTON AVE SE
CHARLESTON, WV 25304-2139
Phone number: 304-859-3106
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