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1780014233
AMANDA CORNWELL
RONCEVERTE, WV
NPI
1780014233
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 667)
Enumeration Date
2013-11-20
Last Update Date
2022-04-07
Business Address
AMANDA CORNWELL PA
3942 DAVIS STUART RD STE 2
RONCEVERTE, WV 24970-0269
Phone number: 304-645-7546
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Mailing Address
AMANDA CORNWELL PA
3942 DAVIS STUART RD STE 2
RONCEVERTE, WV 24970-0269
Phone number: 304-645-7546
Copy
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