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Individual

MARIEA DAWN WEBB

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
300 CAPITOL ST STE 1610, CHARLESTON, WV 25301-1737
(681) 313-8911
Mailing address
300 CAPITOL ST STE 1610, CHARLESTON, WV 25301-1737
(681) 313-8911

Taxonomy

Speciality
Code
Description
License number
State
176B00000X
Midwife
Primary
207VG0400X
Gynecology Physician
1234567
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
X
X
WV
Enumeration date
07/17/2020
Last updated
07/17/2020
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