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1104315910
LAUREL ALEXIS AMBROSE
RICHMOND, VA
NPI
1104315910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: VA 0102205939)
Enumeration Date
2018-05-07
Last Update Date
2024-01-08
Business Address
LAUREL ALEXIS AMBROSE
501 N 2ND ST FL 3
RICHMOND, VA 23219-1359
Phone number: 804-828-9452
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Mailing Address
LAUREL ALEXIS AMBROSE
PO BOX 780125
PHILADELPHIA, PA 19178-0125
Phone number: 804-922-4844
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