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1366546947
CHARLES BUKOVINSKY
SCOTT DEPOT, WV
NPI
1366546947
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 15584)
Enumeration Date
2006-09-12
Last Update Date
2018-11-15
Business Address
CHARLES BUKOVINSKY MD
97 GREAT TEAYS BLVD SUITE 6
SCOTT DEPOT, WV 25560-9815
Phone number: 304-757-6999
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Mailing Address
CHARLES BUKOVINSKY MD
97 GREAT TEAYS BLVD SUITE 6
SCOTT DEPOT, WV 25560-9815
Phone number: 304-757-6999
Copy
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