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1386630408
GREENBRIER VALLEY UROLOGY ASSOCIATES, INC
RONCEVERTE, WV
NPI
1386630408
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Entity Type
Organization
Authorized Contact
KYLE F FORT
Md President
304-647-5642
Organization Subpart ?
No
Primary Taxonomy
208800000X Urology
Enumeration Date
2005-09-23
Last Update Date
2014-02-11
Business Address
GREENBRIER VALLEY UROLOGY ASSOCIATES, INC
119 MAPLEWOOD AVE
RONCEVERTE, WV 24970-9737
Phone number: 304-647-5642
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Mailing Address
GREENBRIER VALLEY UROLOGY ASSOCIATES, INC
119 MAPLEWOOD AVE
RONCEVERTE, WV 24970-9737
Phone number: 304-647-5642
Copy
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