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1316037146
RICHARD E VASICEK
FAIRMONT, WV
NPI
1316037146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 1552)
Enumeration Date
2006-10-13
Last Update Date
2022-09-19
Business Address
Dr. RICHARD E VASICEK DO
177 MIDDLETOWN RD STE 1
FAIRMONT, WV 26554-8254
Phone number: 304-363-6600
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Mailing Address
Dr. RICHARD E VASICEK DO
PO BOX 763
MORGANTOWN, WV 26507-0763
Phone number: 800-541-4009
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