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1104254473
LISA DAWN FETTERS
NORFOLK, VA
NPI
1104254473
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110004274)
Enumeration Date
2013-10-24
Last Update Date
2013-11-06
Business Address
-- LISA DAWN FETTERS NP
150 KINGSLEY LN
NORFOLK, VA 23505-4602
Phone number: 757-484-5900
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Mailing Address
-- LISA DAWN FETTERS NP
150 KINGSLEY LN
NORFOLK, VA 23505-4602
Phone number: 757-484-5900
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