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Individual

EMILEE BROOKE MAYNARD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
20 HOSPITAL DR, LOGAN, WV 25601-3452
(304) 831-1101
Mailing address
2425 MCCLELLAN HWY, RANGER, WV 25557-7537

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
WV

Other

Enumeration date
05/05/2026
Last updated
05/05/2026
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