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1427636034
NICOLAS MAX FARENWALD
ROANOKE, VA
NPI
1427636034
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-04-02
Last Update Date
2021-04-02
Business Address
NICOLAS MAX FARENWALD
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
NICOLAS MAX FARENWALD
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
Copy
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