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1528181930
GREGORY G. SOUTHERS
PRINCETON, WV
NPI
1528181930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 950)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Mr. GREGORY G. SOUTHERS PA-C
311 COURTHOUSE RD
PRINCETON, WV 24740-2421
Phone number: 304-487-2297
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Mailing Address
Mr. GREGORY G. SOUTHERS PA-C
311 COURTHOUSE ROAD
PRINCETON, WV 24740
Phone number: 304-487-2297
Copy
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