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Organization
MARY LOU FRAGILE DO
Active
Organization
MARY LOU FRAGILE DO
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARY LOU FRAGILE DO (DO FAMILY PRACTICE)
(304) 647-3331
Entity
Organization
Contact information
Practice address
RR 2 BOX 171C, GREYROCK PROF PARK, LEWISBURG, WV 24901
(304) 647-3331
(304) 647-9799
Mailing address
PO BOX 1788, LEWISBURG, WV 24901
(304) 647-3331
(304) 647-9799
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
NULL
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2003958000
—
WV
Enumeration date
07/11/2006
Last updated
08/22/2020
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