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1750734661
ASHLEY EBERSOLE MELLERT
SOUTH CHARLESTON, WV
NPI
1750734661
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Former Name
ASHLEY NICOLE EBERSOLE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 1994)
Enumeration Date
2016-07-14
Last Update Date
2021-12-30
Business Address
Mrs. ASHLEY EBERSOLE MELLERT PA-C
500 POPLAR ST STE 204
SOUTH CHARLESTON, WV 25309-1472
Phone number: 304-414-2895
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Mailing Address
Mrs. ASHLEY EBERSOLE MELLERT PA-C
4605 MACCORKLE AVE SW THS PHYSICIAN PARTNERS, INC. ADMINISTRATIVE OFC.
SOUTH CHARLESTON, WV 25309-1311
Phone number: 304-414-4800
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