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1386752566
ANITA LOUISE CALLICOAT
CHARLESTON, WV
NPI
1386752566
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 59045)
Enumeration Date
2006-08-28
Last Update Date
2013-05-30
Business Address
-- ANITA LOUISE CALLICOAT NP-C
3501 MACCORKLE AVE SE # 151
CHARLESTON, WV 25304-1419
Phone number: 866-460-3567
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Mailing Address
-- ANITA LOUISE CALLICOAT NP-C
105 OAKWOOD ESTS
SCOTT DEPOT, WV 25560-9730
Phone number: 304-610-7488
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