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Individual

STEPHANIE R MABIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
156 HEALTH CARE LN, MARTINSBURG, WV 25401-4009
(304) 264-0704
(304) 264-0804
Mailing address
2500 FOUNDATION WAY, MARTINSBURG, WV 25401-9000
(304) 264-9202
(304) 264-9042

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
2575
WV
363AS0400X
Surgical Physician Assistant
MA056192
PA

Other

Enumeration date
07/05/2013
Last updated
02/02/2022
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