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1750850319
INTEGRATED WV LLC
BLUEFIELD, WV
NPI
1750850319
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Entity Type
Organization
Authorized Contact
MATTHEW JACKSON
Authorized Official
813-746-3993
Organization Subpart ?
No
Primary Taxonomy
208M00000X Hospitalist
Enumeration Date
2018-11-13
Last Update Date
2018-11-13
Business Address
INTEGRATED WV LLC
500 CHERRY ST
BLUEFIELD, WV 24701-3306
Phone number: 304-327-1100
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Mailing Address
INTEGRATED WV LLC
PO BOX 671281
DALLAS, TX 75267-1281
Phone number: 813-746-3993
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