Individual
JULIA F GANSOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CACP
Contact information
Practice address
1 STADIUM DRIVE, MORGANTOWN, WV 26506
(304) 598-4800
(304) 293-6963
Mailing address
PO BOX 897, MORGANTOWN, WV 26507-0897
(304) 293-7401
(304) 293-6963
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
36647
WV
Other
Enumeration date
03/19/2007
Last updated
07/08/2007
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