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1922306588
SHELLY LYNN SPROUSE
CHARLESTON, WV
NPI
1922306588
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: WV RP0005947)
Enumeration Date
2011-03-07
Last Update Date
2011-03-07
Business Address
-- SHELLY LYNN SPROUSE
6401 SISSONVILLE DR
CHARLESTON, WV 25312-9463
Phone number: 304-984-9597
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Mailing Address
-- SHELLY LYNN SPROUSE
RR 1 BOX 94
STATTS MILLS, WV 25271-9719
Phone number:
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