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1720767114
CASSANDRA BROOKE ELLISON
SALTVILLE, VA
NPI
1720767114
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024187560)
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
CASSANDRA BROOKE ELLISON FNP-BC
308 W MAIN ST
SALTVILLE, VA 24370-3112
Phone number: 276-496-4433
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Mailing Address
CASSANDRA BROOKE ELLISON FNP-BC
PO BOX 729
SALTVILLE, VA 24370-0729
Phone number: 276-496-4433
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