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Organization
WAR FAMILY CLINIC
Active
Organization
WAR FAMILY CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARIO LUCERO MD (OWNER)
(304) 875-3259
Entity
Organization
Contact information
Practice address
16 MAIN STREET, WAR, WV 24892
(304) 875-3259
(304) 875-3259
Mailing address
PO BOX 99, PRINCETON, WV 24740-0099
(304) 875-3259
(304) 875-3259
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
WV13411
WV
Other
Enumeration date
09/28/2006
Last updated
04/20/2008
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