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1487033007
SHARON G. LAKE
SOUTH CHARLESTON, WV
NPI
1487033007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 64723)
Enumeration Date
2015-05-28
Last Update Date
2015-05-28
Business Address
-- SHARON G. LAKE APRN, NP-C
4607 MACCORKLE AVE SW SUITE 300
SOUTH CHARLESTON, WV 25309-1364
Phone number: 304-766-3688
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Mailing Address
-- SHARON G. LAKE APRN, NP-C
204 STONE PL
SCOTT DEPOT, WV 25560-9465
Phone number: 304-539-1298
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