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1427704188
CRYSTAL WHITE
CHARLESTON, WV
NPI
1427704188
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 111952)
Enumeration Date
2022-02-22
Last Update Date
2022-02-22
Business Address
CRYSTAL WHITE FNP
3701 MACCORKLE AVE SE
CHARLESTON, WV 25304-1525
Phone number: 304-720-2345
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Mailing Address
CRYSTAL WHITE FNP
3511 VIRGINIA AVE SE
CHARLESTON, WV 25304-1405
Phone number: 304-415-3711
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