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Individual

CHRISTINA L NOLTE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PAC

Contact information

Practice address
597 LIBERTY STREET, WEST MILFORD, WV 26451
(304) 745-4568
(304) 326-3700
Mailing address
597 LIBERTY STREET, WEST MILFORD, WV 26451
(304) 745-4568
(304) 326-3700

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
01477
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1801186853
WV
Enumeration date
04/12/2011
Last updated
08/04/2016
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