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Individual

MISS TINA MICHELLE DAILEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RPH

Contact information

Practice address
100 21ST ST, NITRO, WV 25143-1740
(304) 755-3391
(304) 755-3331
Mailing address
839 VALLEY DR, DUNBAR, WV 25064-1131
(304) 541-8106

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
RP0005771
WV

Other

Enumeration date
04/27/2011
Last updated
04/27/2011
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