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1700462132
KELLAN PATRICK ETTER
ROANOKE, VA
NPI
1700462132
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-24
Last Update Date
2021-03-24
Business Address
Dr. KELLAN PATRICK ETTER DO
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
Dr. KELLAN PATRICK ETTER DO
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number:
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