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1922623297
GRACE G DESANTIS
ROANOKE, VA
NPI
1922623297
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Former Name
GRACE G KROTKOV
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2020-06-12
Last Update Date
2024-09-27
Business Address
GRACE G DESANTIS
3410 CHAPARRAL DR APT 133
ROANOKE, VA 24018-4930
Phone number: 717-719-1658
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Mailing Address
GRACE G DESANTIS
213 S JEFFERSON ST STE 625
ROANOKE, VA 24011-1713
Phone number: 717-719-1658
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