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1578179081
SAMANTHA RENEE WISE
MORGANTOWN, WV
NPI
1578179081
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: WV 107473)
Enumeration Date
2020-09-20
Last Update Date
2021-07-23
Business Address
SAMANTHA RENEE WISE
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506-1200
Phone number: 304-598-4000
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Mailing Address
SAMANTHA RENEE WISE
511 BURROUGHS ST APT 201
MORGANTOWN, WV 26505-3390
Phone number: 304-435-7057
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