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Individual
SHIRLEY ELAINE REPASS
Active
Individual
SHIRLEY ELAINE REPASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
32835
WV
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3810003760
—
WV
01
—
P00335546
RAILROAD MEDICARE
WV
Enumeration date
06/14/2006
Last updated
11/29/2007
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