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1891088217
MARY A RUSSELL
MORGANTOWN, WV
NPI
1891088217
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174H00000X Health Educator
(Licence: WV 20120468)
Enumeration Date
2011-05-18
Last Update Date
2011-05-18
Business Address
-- MARY A RUSSELL
1 MEDICAL CENTER DRIVE
MORGANTOWN, WV 26506
Phone number: 304-598-4032
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Mailing Address
-- MARY A RUSSELL
PO BOX 8031
MORGANTOWN, WV 26506-8031
Phone number:
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