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Individual

LAURA WADE L WADE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
1 MEDICAL PARK, WHEELING HOSPITAL INC, WHEELING, WV 26003
(304) 243-3124
(304) 243-6343
Mailing address
47169 UNIONVALE RD, CADIZ, OH 43907-9483

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
391
WV

Other

Enumeration date
10/13/2006
Last updated
07/08/2007
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