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1669780649
DEREK S. NEWSOME
CHARLESTON, WV
NPI
1669780649
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WV 01510)
Enumeration Date
2010-09-23
Last Update Date
2015-12-23
Business Address
-- DEREK S. NEWSOME PA-C
3200 MACCORKLE AVE SE SUITE B16
CHARLESTON, WV 25304-1227
Phone number: 304-388-5848
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Mailing Address
-- DEREK S. NEWSOME PA-C
3200 MACCORKLE SEAVE B16
CHARLESTON, WV 25304-1227
Phone number: 304-388-5848
Copy
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