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1205201241
ANNELY ELISE BURGAMY
CHARLOTTESVILLE, VA
NPI
1205201241
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: VA 0024174860)
Enumeration Date
2015-12-02
Last Update Date
2020-10-13
Business Address
ANNELY ELISE BURGAMY CPNP
1204 W MAIN ST
CHARLOTTESVILLE, VA 22903-2824
Phone number: 434-924-0123
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Mailing Address
ANNELY ELISE BURGAMY CPNP
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number:
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