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1891108502
KATIE CARPENTER
SOUTH CHARLESTON, WV
NPI
1891108502
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: WV 1119180)
Enumeration Date
2014-06-10
Last Update Date
2021-02-11
Business Address
KATIE CARPENTER
4202 MACCORKLE AVE SW STE 200
SOUTH CHARLESTON, WV 25309-1513
Phone number: 304-925-7546
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Mailing Address
KATIE CARPENTER
4202 MACCORKLE AVE SW STE 200
SOUTH CHARLESTON, WV 25309-1513
Phone number: 304-925-7546
Copy
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