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Individual

VICKIE LYNN GROVER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
ONE MEDICAL CENTER DRIVE, CLARKSBURG, WV 26301
(304) 623-3461
Mailing address
28 FRONT ST, LOST CREEK, WV 26385-9636
(724) 255-2476

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
29953
WV

Other

Enumeration date
12/19/2008
Last updated
12/19/2008
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