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1790798544
BERNICE GRANT LATHAM
RICHMOND, VA
NPI
1790798544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101023261)
Enumeration Date
2006-08-14
Last Update Date
2010-12-13
Business Address
-- BERNICE GRANT LATHAM MD
505 W LEIGH ST SUITE 301
RICHMOND, VA 23220-3200
Phone number: 804-780-3008
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Mailing Address
-- BERNICE GRANT LATHAM MD
PO BOX 26965
RICHMOND, VA 23261-6965
Phone number: 804-780-3008
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