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1962065243
JASON M BIRD
HUNTINGTON, WV
NPI
1962065243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: WV 102771)
Enumeration Date
2019-04-22
Last Update Date
2019-04-25
Business Address
JASON M BIRD
2828 1ST AVE STE 200
HUNTINGTON, WV 25702-1236
Phone number: 304-399-7530
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Mailing Address
JASON M BIRD
PO BOX 4190
BARBOURSVILLE, WV 25504-4190
Phone number:
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