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1881969475
RAFAEL MODESTO RODIGHIERO
LOGAN, WV
NPI
1881969475
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WV 01624)
Enumeration Date
2012-03-14
Last Update Date
2013-02-27
Business Address
-- RAFAEL MODESTO RODIGHIERO PA-C
122 NICK SAVAS DR
LOGAN, WV 25601-3468
Phone number: 304-752-8081
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Mailing Address
-- RAFAEL MODESTO RODIGHIERO PA-C
7400 LYNN AVE
HAMLIN, WV 25523-1138
Phone number: 304-824-5806
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