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Organization
COURTLAND HEARING AIDS AND BALANCE, LLC
Active
Organization
COURTLAND HEARING AIDS AND BALANCE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHERYL ANN WRAY (OWNER)
(757) 653-7658
Entity
Organization
Contact information
Practice address
22730 MAIN ST, COURTLAND, VA 23837-1127
(757) 653-7532
Mailing address
26089 GUY PLACE RD, COURTLAND, VA 23837-2745
(757) 653-7658
Taxonomy
Speciality
Code
Description
License number
State
261QH0700X
Hearing and Speech Clinic/Center
Primary
2101001409
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1356383558
—
VA
Enumeration date
06/26/2014
Last updated
06/26/2014
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