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1023671617
NICOLE MAALOUF SHIVELY
ROANOKE, VA
NPI
1023671617
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-10795)
Enumeration Date
2019-04-18
Last Update Date
2024-07-31
Business Address
NICOLE MAALOUF SHIVELY PA
1622 WESTOVER AVE SW
ROANOKE, VA 24015-5216
Phone number: 339-368-1887
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Mailing Address
NICOLE MAALOUF SHIVELY PA
1622 WESTOVER AVE SW
ROANOKE, VA 24015-5216
Phone number: 339-368-1887
Copy
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