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1265928162
TERRIE LYN ROTH
KINGWOOD, WV
NPI
1265928162
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 63537)
Enumeration Date
2018-07-03
Last Update Date
2021-01-12
Business Address
TERRIE LYN ROTH FNP-BC
150 MEMORIAL DR
KINGWOOD, WV 26537-1141
Phone number: 304-329-1400
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Mailing Address
TERRIE LYN ROTH FNP-BC
182 BURNETT RD
OAKLAND, MD 21550-7947
Phone number: 240-321-3335
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