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1780385112
KEVIN SANSOM
HUNTINGTON, WV
NPI
1780385112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 2996)
Enumeration Date
2023-03-13
Last Update Date
2023-04-14
Business Address
Mr. KEVIN SANSOM PA-C
1340 HAL GREER BLVD
HUNTINGTON, WV 25701-3804
Phone number: 304-399-6727
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Mailing Address
Mr. KEVIN SANSOM PA-C
1303 PETER CAVE RD
GENOA, WV 25517-7732
Phone number: 304-633-1940
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