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1912142001
BRIDGEPORT EXPRESS CARE INC
BRIDGEPORT, WV
NPI
1912142001
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Entity Type
Organization
Authorized Contact
TIMOTHY PEASAK
President
304-599-3129
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2008-12-04
Last Update Date
2009-01-26
Business Address
BRIDGEPORT EXPRESS CARE INC
2 CHENOWETH DR
BRIDGEPORT, WV 26330-1688
Phone number: 304-599-3129
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Mailing Address
BRIDGEPORT EXPRESS CARE INC
2 CHENOWETH DR
BRIDGEPORT, WV 26330-1688
Phone number: 304-599-3129
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