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1114790730
VIRGINIA K WADE
MONTGOMERY, AL
NPI
1114790730
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: CO 201844)
Enumeration Date
2023-11-06
Last Update Date
2023-11-06
Business Address
VIRGINIA K WADE CSFA
1725 PINE ST
MONTGOMERY, AL 36106-1117
Phone number: 334-293-8700
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Mailing Address
VIRGINIA K WADE CSFA
1758 PARK PL STE 300
MONTGOMERY, AL 36106-1137
Phone number: 334-293-8922
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