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1508346289
ROSHAWNA IMAN
MORGANTOWN, WV
NPI
1508346289
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Former Name
ROSHAWNA MONGOLD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: WV 80117)
Enumeration Date
2018-08-21
Last Update Date
2020-04-01
Business Address
ROSHAWNA IMAN PNP-BC
9000 COOMBS FARM RD STE 102
MORGANTOWN, WV 26508-1150
Phone number: 304-599-8003
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Mailing Address
ROSHAWNA IMAN PNP-BC
1247 SUNCREST TOWN CENTRE DR
MORGANTOWN, WV 26505-1876
Phone number: 304-599-8000
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