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Individual

MRS. DEBORAH LYNN MILLARD

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA

Contact information

Practice address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 457-5100
Mailing address
225 CLEARFIELD AVE, VIRGINIA BEACH, VA 23462-1815
(757) 452-3599

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110006933
VA

Other

Enumeration date
03/28/2019
Last updated
02/21/2022
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