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1003925108
IDA E SUTHERLAND
RADFORD, VA
NPI
1003925108
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024167940)
Enumeration Date
2006-08-30
Last Update Date
2022-07-21
Business Address
-- IDA E SUTHERLAND FNP-BC
600 RANDOLPH ST
RADFORD, VA 24141-2428
Phone number: 540-639-5300
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Mailing Address
-- IDA E SUTHERLAND FNP-BC
600 RANDOLPH ST
RADFORD, VA 24141-2428
Phone number: 540-639-5300
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