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1316117930
JASON R SOUTHALL
HUNTINGTON, WV
NPI
1316117930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 01257)
Enumeration Date
2008-03-11
Last Update Date
2021-04-14
Business Address
Mr. JASON R SOUTHALL PA-C
2 STONECREST DR
HUNTINGTON, WV 25701-9391
Phone number: 304-525-2273
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Mailing Address
Mr. JASON R SOUTHALL PA-C
2 STONECREST DR
HUNTINGTON, WV 25701-9391
Phone number: 304-525-2273
Copy
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