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1750925202
JANIE TENNIS YOUSSEF
BRIDGEPORT, WV
NPI
1750925202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 102742)
Enumeration Date
2019-10-28
Last Update Date
2019-10-28
Business Address
JANIE TENNIS YOUSSEF
527 MEDICAL PARK DR STE 501
BRIDGEPORT, WV 26330-9010
Phone number: 304-842-3993
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Mailing Address
JANIE TENNIS YOUSSEF
418 CASSINA DR
MORGANTOWN, WV 26505-2492
Phone number: 360-466-8164
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