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1154518900
CAROL SUE CDEBACA
SALEM, VA
NPI
1154518900
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: VA 0110002628)
Enumeration Date
2007-09-26
Last Update Date
2019-11-26
Business Address
Ms. CAROL SUE CDEBACA PA-C
101 KNOTBREAK RD
SALEM, VA 24153-5404
Phone number: 540-444-4020
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Mailing Address
Ms. CAROL SUE CDEBACA PA-C
2331 FRANKLIN RD SW
ROANOKE, VA 24014-1111
Phone number: 540-725-1226
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