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Individual

PEGGY MARIE DESPER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
GN,LPN

Contact information

Practice address
800 BROAD ST, SUMMERSVILLE, WV 26651-1707
(304) 872-7380
(304) 872-7384
Mailing address
800 BROAD ST, SUMMERSVILLE, WV 26651-1707
(304) 872-7380
(304) 872-7384

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
116298
WV
164W00000X
Licensed Practical Nurse
Primary
28265
WV

Other

Enumeration date
06/22/2023
Last updated
06/22/2023
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