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1497923551
JINI PAUL MATTAM
HUNTINGTON, WV
NPI
1497923551
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: OH 03-1-26006)
Enumeration Date
2008-02-12
Last Update Date
2008-02-12
Business Address
-- JINI PAUL MATTAM rph
1540 SPRING VALLEY DR
HUNTINGTON, WV 25704-9300
Phone number: 304-429-6755
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Mailing Address
-- JINI PAUL MATTAM rph
1540 SPRING VALLEY DR
HUNTINGTON, WV 25704-9300
Phone number: 304-429-6755
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