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1568414571
MARIO T. ANSELMO
CHARLESTON, WV
NPI
1568414571
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: WV 16616)
Enumeration Date
2006-05-17
Last Update Date
2015-11-23
Business Address
-- MARIO T. ANSELMO MD
3200 MACCORKLE AVENUE SE PATHOLOGY DEPARTMENT
CHARLESTON, WV 25304
Phone number: 304-388-5550
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Mailing Address
-- MARIO T. ANSELMO MD
DEPT OF PATHOLOGY 3200 MACCORKLE AVE SE
CHARLESTON, WV 25304
Phone number: 304-388-5550
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