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1972809416
LISA DAVIS
RICHMOND, VA
NPI
1972809416
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 01100027863)
Enumeration Date
2011-02-01
Last Update Date
2021-05-20
Business Address
Miss LISA DAVIS PA
6600 W BROAD ST STE 300
RICHMOND, VA 23230-1710
Phone number: 804-320-4243
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Mailing Address
Miss LISA DAVIS PA
1000 BOULDERS PKWY SUITE 102
NORTH CHESTERFIELD, VA 23225-5545
Phone number: 804-320-4243
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