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Individual

PAULINE MOUNTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
200 12TH STREET EXT, PRINCETON, WV 24740-2329
(304) 425-9541
(951) 944-0592
Mailing address
6800 COAL MOUNTAIN RD, COAL MOUNTAIN, WV 24823-7813
(304) 732-6043
(951) 944-0592

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
32892
WV

Other

Enumeration date
07/07/2026
Last updated
07/27/2026
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