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1902231830
WILLIE W SMITH
RONCEVERTE, WV
NPI
1902231830
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WV 01526)
Enumeration Date
2013-09-11
Last Update Date
2020-09-16
Business Address
WILLIE W SMITH PA-C
1521 MAPLEWOOD AVE
RONCEVERTE, WV 24970-8026
Phone number: 304-647-5642
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Mailing Address
WILLIE W SMITH PA-C
176 DAWKINS DR
LEWISBURG, WV 24901-9302
Phone number: 304-647-4411
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