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1417500307
STACY D ROYALL
RADFORD, VA
NPI
1417500307
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Former Name
STACY D GODDARD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024177404)
Enumeration Date
2019-07-19
Last Update Date
2020-04-20
Business Address
STACY D ROYALL NP-BC
401 W MAIN ST
RADFORD, VA 24141-1588
Phone number: 540-961-8300
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Mailing Address
STACY D ROYALL NP-BC
916 KESSLER MILL RD
SALEM, VA 24153-3048
Phone number: 540-505-8530
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