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1346510716
JOHN WAYNE LILLY
BECKLEY, WV
NPI
1346510716
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Other Name
JOHN WAYNE LILLY
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 64742)
Enumeration Date
2012-01-03
Last Update Date
2014-06-13
Business Address
Mr. JOHN WAYNE LILLY APRN, FNP-BC
330 N. EISENHOWER DR.
BECKLEY, WV 25801-3140
Phone number: 304-929-0786
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Mailing Address
Mr. JOHN WAYNE LILLY APRN, FNP-BC
330 N EISENHOWER DR
BECKLEY, WV 25801-4141
Phone number: 304-929-0786
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