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Individual

MARILYN SCHRECKENGOST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1210 13TH ST, PARKERSBURG, WV 26101-4144
(304) 420-9663
Mailing address
1210 13TH ST, PARKERSBURG, WV 26101-4144

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
44134
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810010223
WV
Enumeration date
03/18/2008
Last updated
03/18/2008
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