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1639825771
DEZARAY C PURNELL
RICHMOND, VA
NPI
1639825771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1744P3200X Specialist, Prosthetics Case Management
(Licence: VA 1201143615)
Enumeration Date
2022-02-28
Last Update Date
2022-02-28
Business Address
DEZARAY C PURNELL Cranial Prosthesis
3089 HULL ST
RICHMOND, VA 23224-3575
Phone number: 804-269-0168
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Mailing Address
DEZARAY C PURNELL Cranial Prosthesis
3089 HULL ST
RICHMOND, VA 23224-3575
Phone number: 804-690-1682
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