RANDALL LEE SHORT

CHAPMANVILLE, WV
NPI1689810350
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: WV  796)
Enumeration Date2008-12-30
Last Update Date2008-12-30
Business Address
-- RANDALL LEE SHORT D.O.
556 NORTH MAIN STREET
CHAPMANVILLE, WV 25508
Phone number: 304-549-1139
Mailing Address
-- RANDALL LEE SHORT D.O.
556 MAIN STREET
CHAPMANVILLE, WV 25508
Phone number: 304-549-1139
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