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Individual

MRS. SUSAN RAE RASH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
AGPC-NP

Contact information

Practice address
250 STANAFORD RD STE 203, BECKLEY, WV 25801
(304) 255-3601
Mailing address
PO BOX 702, SOPHIA, WV 25921-0702
(304) 222-4258

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
62787
WV

Other

Enumeration date
09/14/2018
Last updated
09/24/2018
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