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1427697945
JOHN DELA VEGA SORETA
CHARLESTON, WV
NPI
1427697945
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PT002818)
Enumeration Date
2019-12-31
Last Update Date
2019-12-31
Business Address
JOHN DELA VEGA SORETA PT
800 ASSOCIATION DR
CHARLESTON, WV 25311-1272
Phone number: 304-343-6600
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Mailing Address
JOHN DELA VEGA SORETA PT
156 CASTLEKNOCK RD
WINFIELD, WV 25213-1117
Phone number: 304-751-5458
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