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1639344385
TEAYS VALLEY FAMILY MEDICINE, INC.
HURRICANE, WV
NPI
1639344385
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Entity Type
Organization
Authorized Contact
CHARLES BUKOVINSKY
President
304-562-8505
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 15584)
Enumeration Date
2008-04-24
Last Update Date
2008-04-24
Business Address
TEAYS VALLEY FAMILY MEDICINE, INC.
3520 TEAYS VALLEY RD STE 1
HURRICANE, WV 25526-9479
Phone number: 304-562-8505
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Mailing Address
TEAYS VALLEY FAMILY MEDICINE, INC.
3520 TEAYS VALLEY RD STE 1
HURRICANE, WV 25526-9479
Phone number: 304-562-8505
Copy
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