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1700909702
SAMUEL GRAY DEEM
CHARLESTON, WV
NPI
1700909702
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208800000X Urology
(Licence: WV 2176)
Enumeration Date
2007-04-06
Last Update Date
2015-12-14
Business Address
-- SAMUEL GRAY DEEM DO
3100 MACCORKLE AVE SE SUITE 602
CHARLESTON, WV 25304-1223
Phone number: 304-388-5120
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Mailing Address
-- SAMUEL GRAY DEEM DO
3100 MACCORKLE AVE SE STE 602
CHARLESTON, WV 25304
Phone number: 304-388-5280
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