JOHN M. DIBACCO

ELKINS, WV
NPI1275536906
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: WV  001857)
Enumeration Date2005-05-27
Last Update Date2007-07-08
Business Address
-- JOHN M. DIBACCO PT
911 GORMAN AVE STE 103
ELKINS, WV 26241-3154
Phone number: 304-636-1548
Mailing Address
-- JOHN M. DIBACCO PT
911 GORMAN AVE STE 103
ELKINS, WV 26241-3154
Phone number: 304-636-1548
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