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1871763938
MVA FAIRMONT CLINIC
FAIRMONT, WV
NPI
1871763938
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Entity Type
Organization
Authorized Contact
NANCY L VANDERGRIFT
President
304-367-8740
Organization Subpart ?
Yes
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2008-03-05
Last Update Date
2019-06-05
Business Address
MVA FAIRMONT CLINIC
1322 LOCUST AVE
FAIRMONT, WV 26554-1436
Phone number: 304-367-8740
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Mailing Address
MVA FAIRMONT CLINIC
1322 LOCUST AVE
FAIRMONT, WV 26554-1436
Phone number: 304-367-8740
Copy
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