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1518041722
MARY C. VANDERGRIFT
ROANOKE, VA
NPI
1518041722
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Former Name
MARY C. KISER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110002290)
Enumeration Date
2006-10-24
Last Update Date
2023-04-20
Business Address
MARY C. VANDERGRIFT PA-C
5673 AIRPORT RD
ROANOKE, VA 24012-1119
Phone number: 540-523-8080
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Mailing Address
MARY C. VANDERGRIFT PA-C
213 S JEFFERSON ST STE 1006
ROANOKE, VA 24011-1713
Phone number: 540-224-5352
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