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1053712299
EVAN PRYSE
CHARLOTTESVILLE, VA
NPI
1053712299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024171740)
Enumeration Date
2014-09-08
Last Update Date
2021-03-10
Business Address
EVAN PRYSE
590 PETER JEFFERSON PKWY STE 100
CHARLOTTESVILLE, VA 22911-4628
Phone number: 434-654-8930
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Mailing Address
EVAN PRYSE
PO BOX 79777
BALTIMORE, MD 21279-0777
Phone number: 434-654-7794
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