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1033796065
CARLA TATE
FAIRFAX, VA
NPI
1033796065
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024181100)
Enumeration Date
2021-03-25
Last Update Date
2021-03-26
Business Address
CARLA TATE FNP
8315 LEE HWY STE 202
FAIRFAX, VA 22031-2215
Phone number: 703-798-2695
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Mailing Address
CARLA TATE FNP
6151 TAFFY CT
WOODBRIDGE, VA 22193-4182
Phone number: 703-798-2695
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