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Individual

DANIELLE JOSEPHINE GOMBAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP-BC

Contact information

Practice address
104 ALEX LN, CHARLESTON, WV 25304-2952
(304) 734-2040
(304) 734-2047
Mailing address
5722 CABIN CREEK RD, DAWES, WV 25054-7700

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
117989
WV

Other

Enumeration date
12/04/2023
Last updated
12/08/2023
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