AMANDA LYNN GUM

BECKLEY, WV
NPI1750607982
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy174400000X Specialist
(Licence: WV  001461)
Enumeration Date2010-04-13
Last Update Date2010-04-13
Business Address
-- AMANDA LYNN GUM pta
200 VETERANS AVE
BECKLEY, WV 25843
Phone number: 304-255-2121
Mailing Address
-- AMANDA LYNN GUM pta
365 FLAT TOP LAKE
GHENT, WV 25843
Phone number: 304-255-2121
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