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Individual

ANDREA C MCCLURE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D

Contact information

Practice address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1922
Mailing address
1970 ROANOKE BLVD, SALEM, VA 24153-6404
(540) 982-2463
(540) 224-1922

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
2201001095
VA
237700000X
Hearing Instrument Specialist
2101001315
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1699802116
VA
Enumeration date
02/28/2007
Last updated
09/01/2010
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