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1457693020
JOSE GREGORIO RAVELO
CHARLESTON, WV
NPI
1457693020
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223S0112X Dentist, Oral and Maxillofacial Surgery
(Licence: WV 4371)
Enumeration Date
2013-03-21
Last Update Date
2019-10-29
Business Address
Dr. JOSE GREGORIO RAVELO DDS
1215 VIRGINIA ST E
CHARLESTON, WV 25301-2908
Phone number: 304-345-1092
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Mailing Address
Dr. JOSE GREGORIO RAVELO DDS
103 STATION PLACE WAY
HURRICANE, WV 25526-8747
Phone number: 304-720-7819
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