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1235155029
JAYME C GONGOLA
ELKINS, WV
NPI
1235155029
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 1030351)
Enumeration Date
2006-07-14
Last Update Date
2018-01-17
Business Address
Mrs. JAYME C GONGOLA PAC
812 GORMAN AVE
ELKINS, WV 26241-3181
Phone number: 304-637-3894
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Mailing Address
Mrs. JAYME C GONGOLA PAC
812 GORMAN AVE
ELKINS, WV 26241-3181
Phone number: 304-637-3894
Copy
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