JASON CLONNIE TRUSTY

CHARLESTON, WV
NPI1467566463
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: WV  01157)
Enumeration Date2006-08-18
Last Update Date2010-05-18
Business Address
-- JASON CLONNIE TRUSTY PA C
208 MACCORKLE AVE SE
CHARLESTON, WV 25314-1160
Phone number: 304-343-4300
Mailing Address
-- JASON CLONNIE TRUSTY PA C
208 MACCORKLE AVE SE
CHARLESTON, WV 25314-1160
Phone number: 304-343-4300
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