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Individual

THERESA VIRGINIA REEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13682 APPALACHIAN HWY, DAVIS, WV 26260-8299
(304) 259-7828
(304) 259-5703
Mailing address
371 WILLIAM AVENUE, DAVIS, WV 26260

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
107754
WV

Other

Enumeration date
01/08/2021
Last updated
12/15/2021
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