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1235192832
LAURA DERK HART
SALEM, VA
NPI
1235192832
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110840267)
Enumeration Date
2006-04-07
Last Update Date
2012-01-19
Business Address
-- LAURA DERK HART PA-C
1970 BOULEVARD
SALEM, VA 24153-6404
Phone number: 540-982-2463
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Mailing Address
-- LAURA DERK HART PA-C
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
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