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1700382629
ALISSA S HIGINBOTHAM
CHARLOTTESVILLE, VA
NPI
1700382629
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Former Name
ALISSA SUSAN KASUNICH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: VA 0101278562)
Enumeration Date
2018-03-30
Last Update Date
2024-02-12
Business Address
ALISSA S HIGINBOTHAM MD
1215 LEE ST
CHARLOTTESVILLE, VA 22908-1716
Phone number: 434-924-2101
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Mailing Address
ALISSA S HIGINBOTHAM MD
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number:
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