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Individual

GERALDINE BROOKS-JOHNSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
52 SAINT PAULS RD, WARSAW, VA 22572-4436
(804) 761-4681
Mailing address
52 SAINT PAULS RD, WARSAW, VA 22572-4436
(804) 761-4681

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
08/14/2017
Last updated
07/21/2022
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