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1760689012
MATTHEW BLAIR ELLISON
MORGANTOWN, WV
NPI
1760689012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: WV 208D00000X)
Enumeration Date
2007-06-29
Last Update Date
2007-07-08
Business Address
DR. MATTHEW BLAIR ELLISON MD
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-4929
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Mailing Address
DR. MATTHEW BLAIR ELLISON MD
120 DONNA AVE
MORGANTOWN, WV 26505-2884
Phone number: 304-598-4929
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