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1144483009
AZZIZA BANKOLE
ROANOKE, VA
NPI
1144483009
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA 0101245202)
Enumeration Date
2008-07-09
Last Update Date
2018-12-18
Business Address
AZZIZA BANKOLE MD
2001 CRYSTAL SPRING AVE SW STE 302
ROANOKE, VA 24014-2465
Phone number: 540-981-7653
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Mailing Address
AZZIZA BANKOLE MD
2001 CRYSTAL SPRING AVE SW STE 302
ROANOKE, VA 24014-2465
Phone number: 540-981-7653
Copy
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