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Individual

DR. JENNIFER LEE CLEVELAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1663 BLUE RIDGE BLVD, TROUTVILLE, VA 24175-6636
(540) 977-4224
(540) 977-0297
Mailing address
153 LAUREL RIDGE DR, ROANOKE, VA 24019-8081
(540) 293-4999
(540) 977-0297

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205247
VA

Other

Enumeration date
08/05/2009
Last updated
08/05/2009
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