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1104538263
LARISA PETRIE
RICHMOND, VA
NPI
1104538263
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner Acute Care
(Licence: VA 0024185158)
Enumeration Date
2022-12-20
Last Update Date
2022-12-20
Business Address
LARISA PETRIE AGACNP-BC
5801 BREMO RD
RICHMOND, VA 23226-1907
Phone number: 804-285-2011
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Mailing Address
LARISA PETRIE AGACNP-BC
5801 BREMO RD
RICHMOND, VA 23226-1907
Phone number: 804-285-2011
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