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Individual

MR. ALEXANDER LIPINE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3121 CORBIESHAW RD SW, ROANOKE, VA 24015-4617
(540) 521-7775
Mailing address
3121 CORBIESHAW RD SW, ROANOKE, VA 24015-4617
(540) 521-7775

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0704012195
VA

Other

Enumeration date
01/11/2021
Last updated
01/11/2021
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