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Individual

MISS ERYKAH YVONNE STARKS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPN

Contact information

Practice address
105 S EISENHOWER DR, BECKLEY, WV 25801-4929
(304) 256-6600
Mailing address
117 LUNDY LN, BECKLEY, WV 25801-3420
(304) 320-4647

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
26395
WV

Other

Enumeration date
12/01/2009
Last updated
12/01/2009
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