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1972036853
CHRISITNE R MICK
MECHANICSVILLE, VA
NPI
1972036853
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QR0400X Clinic/Center Rehabilitation
(Licence: VA 0131000159)
Enumeration Date
2017-04-06
Last Update Date
2017-04-06
Business Address
CHRISITNE R MICK 0131000159
8254 ATLEE RD
MECHANICSVILLE, VA 23116-1844
Phone number: 804-342-4353
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Mailing Address
CHRISITNE R MICK 0131000159
3610 KIEFER RD
CHESTER, VA 23831-1813
Phone number: 804-748-4276
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