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1770549826
ALLISON K DIVERS
ROANOKE, VA
NPI
1770549826
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: VA 0101231913)
Enumeration Date
2006-04-25
Last Update Date
2007-07-08
Business Address
Mrs. ALLISON K DIVERS MD
4320 BRAMBLETON AVE SUITE B
ROANOKE, VA 24018
Phone number: 540-345-3556
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Mailing Address
Mrs. ALLISON K DIVERS MD
PO BOX 18237
ROANOKE, VA 24014
Phone number: 540-345-3556
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