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Individual

MARIA GRACIA LUZURIAGA BASSANTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1249 15TH ST STE 3000, HUNTINGTON, WV 25701-3663
(304) 691-1000
Mailing address
1448 10TH AVE STE 304, HUNTINGTON, WV 25701-3579
(304) 691-1000

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
31333
WV
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
31333
WV

Other

Enumeration date
06/25/2016
Last updated
05/15/2023
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