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1295840593
ENRIQUE COLLANTES STA. ANA
HURRICANE, WV
NPI
1295840593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 11628)
Enumeration Date
2006-08-20
Last Update Date
2015-05-29
Business Address
Dr. ENRIQUE COLLANTES STA. ANA M.D.
1100 HOSPITAL DR
HURRICANE, WV 25526-8712
Phone number: 304-757-8683
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Mailing Address
Dr. ENRIQUE COLLANTES STA. ANA M.D.
2585 3RD AVE
HUNTINGTON, WV 25703-1642
Phone number: 304-697-1396
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