SHELLY LYNN SPROUSE

CHARLESTON, WV
NPI1922306588
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: WV  RP0005947)
Enumeration Date2011-03-07
Last Update Date2011-03-07
Business Address
-- SHELLY LYNN SPROUSE
6401 SISSONVILLE DR
CHARLESTON, WV 25312-9463
Phone number: 304-984-9597
Mailing Address
-- SHELLY LYNN SPROUSE
RR 1 BOX 94
STATTS MILLS, WV 25271-9719
Phone number:
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