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1184397416
BROOKE WARE JACKSON
ROANOKE, VA
NPI
1184397416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: VA 0024182199)
Enumeration Date
2021-08-02
Last Update Date
2021-08-02
Business Address
BROOKE WARE JACKSON
3707 BRAMBLETON AVE STE 2
ROANOKE, VA 24018-3658
Phone number: 540-725-7800
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Mailing Address
BROOKE WARE JACKSON
3707 BRAMBLETON AVE STE 2
ROANOKE, VA 24018-3658
Phone number: 540-725-7800
Copy
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