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1700297207
RICKY MCDANIELS
SOUTH CHARLESTON, WV
NPI
1700297207
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 1112738)
Enumeration Date
2014-05-19
Last Update Date
2014-05-19
Business Address
-- RICKY MCDANIELS PA-C
4607 MACCORKLE AVE SW STE 300
SOUTH CHARLESTON, WV 25309-1364
Phone number: 304-768-3688
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Mailing Address
-- RICKY MCDANIELS PA-C
4607 MACCORKLE AVE SW STE 300
SOUTH CHARLESTON, WV 25309-1364
Phone number: 304-768-3688
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