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1457018749
BIRDINE MILDRED-MARIE HERALD
CHRISTIANSBURG, VA
NPI
1457018749
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: VA 0002061023)
Enumeration Date
2021-11-21
Last Update Date
2021-11-21
Business Address
BIRDINE MILDRED-MARIE HERALD LPN
2100 ROANOKE ST STE 1
CHRISTIANSBURG, VA 24073-2512
Phone number: 434-941-6207
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Mailing Address
BIRDINE MILDRED-MARIE HERALD LPN
1941 CHARLEY BALLARD RD
LINDSIDE, WV 24951-7360
Phone number: 304-994-1262
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