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1114358496
JIMEKA FITZGERALD
PORTSMOUTH, VA
NPI
1114358496
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224P00000X Prosthetist
Additional Taxonomies
224P00000X Prosthetist
(Licence: VA 224P00000x)
Enumeration Date
2013-12-11
Last Update Date
2013-12-11
Business Address
-- JIMEKA FITZGERALD
109 AVONDALE RD
PORTSMOUTH, VA 23701-4203
Phone number: 757-802-8177
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Mailing Address
-- JIMEKA FITZGERALD
PO BOX 192
PORTSMOUTH, VA 23705-0192
Phone number: 757-802-8177
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