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1871663013
STACY BROADHURST
MORGANTOWN, WV
NPI
1871663013
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: WV 0707)
Enumeration Date
2006-11-08
Last Update Date
2007-07-08
Business Address
-- STACY BROADHURST SLP
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-4118
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Mailing Address
-- STACY BROADHURST SLP
1610 MICHAEL LN
FAIRMONT, WV 26554-2113
Phone number:
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