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Individual

AMY BURGESS LIBERACE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
25 W WATER ST, HARRISONBURG, VA 22801-3624
(540) 433-5431
Mailing address
PO BOX 890195, CHARLOTTE, NC 28289-0195
(336) 547-1877

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110002750
VA
363A00000X
Physician Assistant
103896
NC

Other

Enumeration date
07/11/2006
Last updated
02/05/2020
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