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1710407960
ALANA A GILLENWATER
GASSAWAY, WV
NPI
1710407960
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: WV PT003799)
Enumeration Date
2017-06-20
Last Update Date
2017-06-20
Business Address
ALANA A GILLENWATER DPT
155 RESTON PL
GASSAWAY, WV 26624-9356
Phone number: 304-364-9191
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Mailing Address
ALANA A GILLENWATER DPT
3942 DAVIS STUART RD STE 3
RONCEVERTE, WV 24970-0269
Phone number: 304-647-3987
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