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Holli Sansom

NPI 1942977939 · on the registry since 2021 · sole proprietor

Practice

Address
506 Holly Ave
Logan, WV 25601
Phone
(304) 752-1550
Clinicians at this address
22

Registry record

Primary taxonomy
163WS0200X
163WS0200X
Licence states on file
WV
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2021-08-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in West Virginia