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1538271382
MARY KELSEY FAUTEUX
PARKERSBURG, WV
NPI
1538271382
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 1043744)
Enumeration Date
2006-08-31
Last Update Date
2011-10-19
Business Address
-- MARY KELSEY FAUTEUX PA C
3199 CORE RD
PARKERSBURG, WV 26104-1557
Phone number: 304-485-5185
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Mailing Address
-- MARY KELSEY FAUTEUX PA C
3199 CORE RD 3194 CORE RD
PARKERSBURG, WV 26104-1557
Phone number: 304-485-5185
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