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1336456722
REBECCA THAXTON
CHARLESTON, WV
NPI
1336456722
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: WV 19163)
Enumeration Date
2010-09-07
Last Update Date
2010-09-07
Business Address
Dr. REBECCA THAXTON M.D.
120 CORNWALL LN
CHARLESTON, WV 25314-2493
Phone number: 304-205-4719
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Mailing Address
Dr. REBECCA THAXTON M.D.
120 CORNWALL LN
CHARLESTON, WV 25314-2493
Phone number: 304-205-4719
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