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1114529187
ANGELA ANN RUSSELL FLOYD
MANASSAS, VA
NPI
1114529187
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024180508)
Enumeration Date
2020-11-13
Last Update Date
2020-11-13
Business Address
ANGELA ANN RUSSELL FLOYD
8609 SUDLEY RD STE 105
MANASSAS, VA 20110-4500
Phone number: 703-393-8883
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Mailing Address
ANGELA ANN RUSSELL FLOYD
4110 FAIRFAX ST
FAIRFAX, VA 22030-5209
Phone number: 212-755-0039
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