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Individual

EHAB AWAD

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PA-C

Contact information

Practice address
RR 2 BOX 52W, BUCKEYE, WV 24924-9643
(304) 799-7400
Mailing address
RR 1 BOX 306B, WOODROW BRANCH RD, MARLINTON, WV 24954-9731
(304) 799-7366

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
5975
WV
363AM0700X
Medical Physician Assistant
Primary
845
WV

Other

Enumeration date
03/08/2006
Last updated
01/05/2011
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