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1366566143
JULIA F GANSOR
MORGANTOWN, WV
NPI
1366566143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: WV 36647)
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
JULIA F GANSOR CACP
1 STADIUM DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-4800
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Mailing Address
JULIA F GANSOR CACP
PO BOX 897
MORGANTOWN, WV 26507-0897
Phone number: 304-293-7401
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