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1972918787
STACEY SMITH
CHARLESTON, WV
NPI
1972918787
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2014-07-01
Last Update Date
2018-04-10
Business Address
Mrs. STACEY SMITH PA-C
3200 MACCORKLE AVE SE
CHARLESTON, WV 25304-1227
Phone number: 304-388-5432
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Mailing Address
Mrs. STACEY SMITH PA-C
3200 MACCORKLE SEAVE B16
CHARLESTON, WV 25304-1227
Phone number: 304-388-1724
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