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1396766051
ELY JEAN SALON
BECKLEY, WV
NPI
1396766051
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: WV 18381)
Enumeration Date
2006-07-21
Last Update Date
2010-10-28
Business Address
-- ELY JEAN SALON MD
200 RALEIGH AVE
BECKLEY, WV 25801-5989
Phone number: 304-252-8541
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Mailing Address
-- ELY JEAN SALON MD
252 RURAL ACRES DR
BECKLEY, WV 25801-3503
Phone number: 304-252-8324
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