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1740304740
RUSSELL E MATHEWS
MORGANTOWN, WV
NPI
1740304740
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LN0000X Nurse Practitioner Neonatal
(Licence: WV 57233)
Enumeration Date
2007-03-17
Last Update Date
2022-04-15
Business Address
RUSSELL E MATHEWS CNNP
101 STADIUM DR
MORGANTOWN, WV 26506-7911
Phone number: 304-598-4000
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Mailing Address
RUSSELL E MATHEWS CNNP
PO BOX 897
MORGANTOWN, WV 26507-0897
Phone number: 304-293-7401
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