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1720088180
DANTE R GERONILLA
CHARLESTON, WV
NPI
1720088180
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: WV 13359)
Enumeration Date
2005-07-28
Last Update Date
2007-11-15
Business Address
-- DANTE R GERONILLA M.D.
3508 STAUNTON AVE SE
CHARLESTON, WV 25304-1477
Phone number: 304-925-4086
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Mailing Address
-- DANTE R GERONILLA M.D.
PO BOX 3444
CHARLESTON, WV 25334-3444
Phone number: 304-925-5486
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