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1104889302
JANICE CARLISLE SEQUEIRA
HAMPTON, VA
NPI
1104889302
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: VA 0024092072)
Enumeration Date
2006-04-10
Last Update Date
2007-07-08
Business Address
MS. JANICE CARLISLE SEQUEIRA NP
100 EMANCIPATION DR. VAMC HAMPTON
HAMPTON, VA 23667-0001
Phone number: 757-722-9961
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Mailing Address
MS. JANICE CARLISLE SEQUEIRA NP
5629 RIVERBLUFF DR
SUFFOLK, VA 23435-1629
Phone number: 757-722-9961
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