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1952978330
KRISTIN VICKERS
NORFOLK, VA
NPI
1952978330
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110008319)
Enumeration Date
2021-06-05
Last Update Date
2022-02-08
Business Address
KRISTIN VICKERS PA-C
6251 E VIRGINIA BEACH BLVD STE 200
NORFOLK, VA 23502-2824
Phone number: 757-466-8683
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Mailing Address
KRISTIN VICKERS PA-C
6350 CENTER DR STE 200
NORFOLK, VA 23502-4107
Phone number: 757-213-5700
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