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1912091133
IDA Z VILLANUEVA
BECKLEY, WV
NPI
1912091133
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: WV 12015)
Enumeration Date
2006-10-03
Last Update Date
2007-07-17
Business Address
IDA Z VILLANUEVA M.D.
252 RURAL ACRES DR
BECKLEY, WV 25801-3503
Phone number: 304-252-8551
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Mailing Address
IDA Z VILLANUEVA M.D.
252 RURAL ACRES DR
BECKLEY, WV 25801-3503
Phone number: 304-252-8551
Copy
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