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1295850410
J KEITH WADE
FAIRMONT, WV
NPI
1295850410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WV 729OD)
Enumeration Date
2007-03-20
Last Update Date
2008-04-22
Business Address
Dr. J KEITH WADE OD
405 LOCUST AVE
FAIRMONT, WV 26554-4717
Phone number: 304-366-2020
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Mailing Address
Dr. J KEITH WADE OD
405 LOCUST AVE
FAIRMONT, WV 26554-4717
Phone number: 304-366-2020
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