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Individual

CHRISTOPHER ALLEN FISHER

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
2103 LITTLE CREEK CT APT 1444, LOUISVILLE, KY 40218-1848
(939) 216-3197

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
9486826
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
JNHAN7756363
BLUE CROOS BLUESHILD
KY
Enumeration date
08/03/2018
Last updated
08/03/2018
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