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1831459387
ANNE LOGAN FORSYTH BASS
ROANOKE, VA
NPI
1831459387
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024167950)
Enumeration Date
2012-05-17
Last Update Date
2012-05-17
Business Address
-- ANNE LOGAN FORSYTH BASS FNP
2207 PETERS CREEK RD NW
ROANOKE, VA 24017-1618
Phone number: 540-562-3457
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Mailing Address
-- ANNE LOGAN FORSYTH BASS FNP
209 PARKCREST ST SW
ROANOKE, VA 24014-4211
Phone number:
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