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1528454048
STEPHEN WANTA
MORGANTOWN, WV
NPI
1528454048
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-04-10
Last Update Date
2022-02-04
Business Address
-- STEPHEN WANTA M.D.
1 MEDICAL CENTER DR ROOM 4601
MORGANTOWN, WV 26506-1200
Phone number: 304-293-1254
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Mailing Address
-- STEPHEN WANTA M.D.
PO BOX 9238
MORGANTOWN, WV 26506-9238
Phone number: 304-293-1254
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