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1003559766
NATHAN WILLIAM WAKEFIELD
ROANOKE, VA
NPI
1003559766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
NATHAN WILLIAM WAKEFIELD
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
NATHAN WILLIAM WAKEFIELD
298 WYNDERMERE DR
TROUTVILLE, VA 24175-6597
Phone number: 919-727-8165
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