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1073166096
TERESA ROSE
WOODBRIDGE, VA
NPI
1073166096
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024177194)
Enumeration Date
2019-07-18
Last Update Date
2019-07-18
Business Address
TERESA ROSE FNP-C
4379 RIDGEWOOD CENTER DR STE 102
WOODBRIDGE, VA 22192-8323
Phone number: 703-680-7950
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Mailing Address
TERESA ROSE FNP-C
4379 RIDGEWOOD CENTER DR STE 102
WOODBRIDGE, VA 22192-8323
Phone number: 703-680-7950
Copy
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