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Individual

WAYNE STARKE SR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
19718 MANSON CHURCH RD, MC KENNEY, VA 23872-2844
(804) 526-5820
Mailing address
19718 MANSON CHURCH RD, MC KENNEY, VA 23872-2844
(804) 526-5820

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
08/15/2017
Last updated
07/21/2022
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