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1740341841
KARISSA L HACKELTON
RICHMOND, VA
NPI
1740341841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101236653)
Enumeration Date
2006-12-12
Last Update Date
2011-09-19
Business Address
-- KARISSA L HACKELTON MD
1800 GLENSIDE DR SUITE 110
RICHMOND, VA 23226-3769
Phone number: 804-288-1800
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Mailing Address
-- KARISSA L HACKELTON MD
1800 GLENSIDE DR SUITE 105
RICHMOND, VA 23226-3769
Phone number: 804-288-0399
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