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1639251762
KIMBERLY A MIZACK
SALEM, VA
NPI
1639251762
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110002410)
Enumeration Date
2006-10-19
Last Update Date
2022-02-10
Business Address
-- KIMBERLY A MIZACK P.A.
1802 BRAEBURN DR
SALEM, VA 24153-7357
Phone number: 540-772-3530
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Mailing Address
-- KIMBERLY A MIZACK P.A.
1802 BRAEBURN DR
SALEM, VA 24153-7357
Phone number: 540-772-3530
Copy
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