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1669716833
WANETTA SUSIE MATULIS
CHARLESTON, WV
NPI
1669716833
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207RI0200X Internal Medicine, Infectious Disease
(Licence: WV 14892)
Enumeration Date
2012-11-12
Last Update Date
2012-11-12
Business Address
-- WANETTA SUSIE MATULIS MD
68 QUARRY RDG
CHARLESTON, WV 25304-1051
Phone number: 304-344-5000
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Mailing Address
-- WANETTA SUSIE MATULIS MD
68 QUARRY RDG
CHARLESTON, WV 25304-1051
Phone number: 304-344-5000
Copy
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