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1114575263
KATHLEEN FOSS VALDIVIESO
NEWPORT NEWS, VA
NPI
1114575263
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Former Name
KATHLEEN FOSS BAUWENS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: VA 0024177867)
Enumeration Date
2019-09-03
Last Update Date
2019-09-03
Business Address
KATHLEEN FOSS VALDIVIESO NP
12200 WARWICK BLVD STE 290
NEWPORT NEWS, VA 23601-2344
Phone number: 757-534-5454
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Mailing Address
KATHLEEN FOSS VALDIVIESO NP
856 J CLYDE MORRIS BLVD STE A
NEWPORT NEWS, VA 23601-1318
Phone number: 757-316-5800
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