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1265492797
JOHN WALLACE NEVILLE
HURRICANE, WV
NPI
1265492797
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 17801)
Enumeration Date
2006-03-27
Last Update Date
2021-12-23
Business Address
JOHN WALLACE NEVILLE MD
3752 TEAYS VALLEY RD
HURRICANE, WV 25526-9705
Phone number: 304-757-3131
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Mailing Address
JOHN WALLACE NEVILLE MD
1100 GROSSCUP AVE
DUNBAR, WV 25064-3120
Phone number: 304-768-8811
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