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1043801145
THERESA POWELL
FREDERICKSBURG, VA
NPI
1043801145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA 0024180550)
Enumeration Date
2021-02-01
Last Update Date
2021-02-01
Business Address
THERESA POWELL FNP-C
16 N JENNY LYNN RD
FREDERICKSBURG, VA 22405-1817
Phone number: 540-907-3119
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Mailing Address
THERESA POWELL FNP-C
16 N JENNY LYNN RD
FREDERICKSBURG, VA 22405-1817
Phone number:
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