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1639944531
ELAINE M DUNNIVAN
ROANOKE, VA
NPI
1639944531
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024188915)
Enumeration Date
2023-11-20
Last Update Date
2023-12-13
Business Address
Mrs. ELAINE M DUNNIVAN FNP
6701 PETERS CREEK RD
ROANOKE, VA 24019-4060
Phone number: 800-765-7130
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Mailing Address
Mrs. ELAINE M DUNNIVAN FNP
6701 PETERS CREEK RD
ROANOKE, VA 24019-4060
Phone number: 800-765-7130
Copy
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LIFEWORKS SERVICES, LLC