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1457139594
BLAKE R WILCOCK
GLEN DALE, WV
NPI
1457139594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2023-09-19
Last Update Date
2024-07-24
Business Address
BLAKE R WILCOCK PA-C
800 WHEELING AVE FL 3
GLEN DALE, WV 26038-1660
Phone number: 304-845-0100
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Mailing Address
BLAKE R WILCOCK PA-C
1 MEDICAL PARK
WHEELING, WV 26003-6379
Phone number:
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