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1437247160
LEE PARKS THEAKER
WHEELING, WV
NPI
1437247160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: OH 35067781T)
Enumeration Date
2006-10-10
Last Update Date
2012-09-14
Business Address
LEE PARKS THEAKER MD
2000 EOFF ST
WHEELING, WV 26003-3823
Phone number: 304-234-0123
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Mailing Address
LEE PARKS THEAKER MD
2000 EOFF ST
WHEELING, WV 26003-3823
Phone number: 304-234-0123
Copy
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