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1578806105
ALISA SUE ELLISON
HINTON, WV
NPI
1578806105
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Former Name
ALISA SUE LANE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: WV 80451)
Enumeration Date
2013-04-02
Last Update Date
2024-05-20
Business Address
Mrs. ALISA SUE ELLISON FNPC
197 PLEASANT ST
HINTON, WV 25951-2540
Phone number: 304-466-2501
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Mailing Address
Mrs. ALISA SUE ELLISON FNPC
3547 TRUE RD.
HINTON, WV 25951
Phone number: 304-716-1440
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