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1528116662
LARRY L FITZWATER
PHILIPPI, WV
NPI
1528116662
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 318)
Enumeration Date
2007-01-08
Last Update Date
2007-07-08
Business Address
-- LARRY L FITZWATER PA-C
#1 HEALTHCARE DRIVE
PHILIPPI, WV 26416
Phone number: 304-457-1760
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Mailing Address
-- LARRY L FITZWATER PA-C
#1 HEALTHCARE DRIVE
PHILIPPI, WV 26416
Phone number: 304-457-1760
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