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Individual

ROBERT FARRIS ROBINSON JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
CCA

Contact information

Practice address
3005 BAY SHORE LANE, SUFFOLK, VA 23435-3175
(757) 582-4063
Mailing address
3005 BAY SHORE LN, SUFFOLK, VA 23435-3175
(757) 484-1167

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
GA

Other

Enumeration date
11/07/2006
Last updated
03/24/2009
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