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1356424667
CENTER FOR DERMATOLOGY & SKIN CARE, INC.
SOUTH CHARLESTON, WV
NPI
1356424667
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Entity Type
Organization
Authorized Contact
GREGORY T. LAGOS
President
304-766-9136
Organization Subpart ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: WV 1300)
Enumeration Date
2006-10-23
Last Update Date
2011-01-27
Business Address
CENTER FOR DERMATOLOGY & SKIN CARE, INC.
607 CHESTNUT STREET
SOUTH CHARLESTON, WV 25309-1205
Phone number: 304-766-9136
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Mailing Address
CENTER FOR DERMATOLOGY & SKIN CARE, INC.
607 CHESTNUT STREET
SOUTH CHARLESTON, WV 25309-1205
Phone number: 304-766-9136
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