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1912056771
ALFRED SPENCER GERVIN
RICHMOND, VA
NPI
1912056771
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: VA 36192)
Enumeration Date
2007-01-10
Last Update Date
2007-07-08
Business Address
Dr. ALFRED SPENCER GERVIN M.D., MBA
9702 GAYTON RD # 327
RICHMOND, VA 23238-4907
Phone number: 804-784-9012
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Mailing Address
Dr. ALFRED SPENCER GERVIN M.D., MBA
1 ROADS END LN
RICHMOND, VA 23238-6109
Phone number: 804-784-9012
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