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1013661347
JOSEPHINE PANGAN BOLIVAR-KERNS
FAIRFAX, VA
NPI
1013661347
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024183581)
Enumeration Date
2022-02-06
Last Update Date
2022-07-26
Business Address
JOSEPHINE PANGAN BOLIVAR-KERNS NP
9299 TOWER SIDE DR APT 438
FAIRFAX, VA 22031-6032
Phone number: 414-939-6346
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Mailing Address
JOSEPHINE PANGAN BOLIVAR-KERNS NP
9299 TOWER SIDE DR APT 438
FAIRFAX, VA 22031-6032
Phone number: 414-939-6346
Copy
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