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1730300948
STACY LEIGH SKIDMORE
MORGANTOWN, WV
NPI
1730300948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 01048)
Enumeration Date
2007-05-02
Last Update Date
2011-11-02
Business Address
Mrs. STACY LEIGH SKIDMORE PA-C
1 STADIUM DRIVE PHYSICIAN OFFICE CENTER
MORGANTOWN, WV 26506-9196
Phone number: 304-293-3900
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Mailing Address
Mrs. STACY LEIGH SKIDMORE PA-C
114 PARK PLACE DR
MORGANTOWN, WV 26508-4521
Phone number: 724-288-7632
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