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1053364448
SHANE P BOSSARD
SALEM, VA
NPI
1053364448
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: VA 0101236539)
Enumeration Date
2006-05-18
Last Update Date
2012-11-22
Business Address
-- SHANE P BOSSARD M.D.
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
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Mailing Address
-- SHANE P BOSSARD M.D.
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
Copy
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