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Individual
VALERIE SMITH FAVORS
Active
Individual
VALERIE SMITH FAVORS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
001005497
NC
363A00000X
Physician Assistant
Primary
303819
LA
Other
Enumeration date
04/29/2015
Last updated
03/16/2017
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