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Individual

CAROLYN OLIVEIRA NASCIMENTO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1215 LEE ST, CHARLOTTESVILLE, VA 22908-0816
(434) 924-9999
Mailing address
89 LOGAN LN, LYNCHBURG, VA 24502-7321
(617) 365-3377

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110009620
VA

Other

Enumeration date
11/10/2023
Last updated
11/14/2023
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