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1063714244
CRYSTAL ANN MCGOVERN
MANASSAS, VA
NPI
1063714244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024168953)
Enumeration Date
2010-11-22
Last Update Date
2016-04-11
Business Address
-- CRYSTAL ANN MCGOVERN N.P.
8640 SUDLEY RD SUITE 201
MANASSAS, VA 20110-4420
Phone number: 703-368-6819
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Mailing Address
-- CRYSTAL ANN MCGOVERN N.P.
8640 SUDLEY RD STE 201
MANASSAS, VA 20110-4404
Phone number: 703-368-6819
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