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1265182679
HAMPTON ROADS PATH TO WELLNESS CENTER, LLC
HAMPTON, VA
NPI
1265182679
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Entity Type
Organization
Authorized Contact
KIMBERLY DENESE MCKISSACK
Np
615-569-1661
Organization Subpart ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
Enumeration Date
2022-03-28
Last Update Date
2022-03-28
Business Address
HAMPTON ROADS PATH TO WELLNESS CENTER, LLC
367 MANNING LN
HAMPTON, VA 23666-5024
Phone number: 757-405-6060
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Mailing Address
HAMPTON ROADS PATH TO WELLNESS CENTER, LLC
367 MANNING LN
HAMPTON, VA 23666-5024
Phone number: 615-569-1661
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