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Individual

MRS. KATHY M HOARE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CMF

Contact information

Practice address
18 WEXFORD WAY, BRIDGEPORT, WV 26330
(304) 842-9268
Mailing address
18 WEXFORD WAY, BRIDGEPORT, WV 26330
(304) 842-9268

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0147312000
WV
Enumeration date
11/15/2006
Last updated
07/08/2007
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