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1659364735
JAMES E BEAVER
BEAVER, WV
NPI
1659364735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 779)
Enumeration Date
2005-08-24
Last Update Date
2010-02-03
Business Address
-- JAMES E BEAVER PAC
134 MEDICAL PL
BEAVER, WV 25813-8977
Phone number: 304-255-1080
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Mailing Address
-- JAMES E BEAVER PAC
208 DOGWOOD CT
DANIELS, WV 25832-9202
Phone number: 304-763-5121
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