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MR. RAY ANDREW KIRACOFE III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
0001277575
VA

Other

Enumeration date
02/13/2018
Last updated
02/13/2018
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