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1114680592
JAVIER JIMILL WAY
VIRGINIA BEACH, VA
NPI
1114680592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024182964)
Enumeration Date
2021-10-21
Last Update Date
2023-04-20
Business Address
JAVIER JIMILL WAY PMHNP-BC
780 LYNNHAVEN PKWY
VIRGINIA BEACH, VA 23452-7332
Phone number: 984-283-2136
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Mailing Address
JAVIER JIMILL WAY PMHNP-BC
1500 E LITTLE CREEK RD STE 205
NORFOLK, VA 23518-4137
Phone number: 757-587-4744
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