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1720111768
MARY MOORE WISE
HUNTINGTON, WV
NPI
1720111768
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163WP0809X Registered Nurse, Psych/Mental Health, Adult
(Licence: FL ARNP2656282)
Enumeration Date
2007-03-13
Last Update Date
2007-07-08
Business Address
Ms. MARY MOORE WISE ARNP
1540 SPRING VALLEY DR
HUNTINGTON, WV 25704-9300
Phone number: 304-429-6755
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Mailing Address
Ms. MARY MOORE WISE ARNP
414 BELLEFONTE PRINCESS RD
ASHLAND, KY 41101-2118
Phone number: 606-571-2144
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