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Individual

LINDA S SCARBOROUGH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
FNP

Contact information

Practice address
221 W MAPLE AVE, FAYETTEVILLE, WV 25840
(304) 574-3960
(304) 574-2179
Mailing address
PO BOX 337, SCARBRO, WV 25917-0337
(304) 469-2905
(304) 465-5486

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
19206
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
3810000318
WV
Enumeration date
08/30/2005
Last updated
02/29/2008
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