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1194041053
JEANNE MARIE BLACK
WILLIAMSBURG, VA
NPI
1194041053
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP2300X Nurse Practitioner, Primary Care
(Licence: VA 0017000296)
Enumeration Date
2010-04-15
Last Update Date
2010-04-15
Business Address
Ms. JEANNE MARIE BLACK
7151 RICHMOND RD SUITE 401
WILLIAMSBURG, VA 23188-7234
Phone number: 757-565-1700
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Mailing Address
Ms. JEANNE MARIE BLACK
PO BOX 801
TOANO, VA 23168-0801
Phone number: 757-565-1700
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