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1215557335
KATY HUGHES FEDORKO
HAMPTON, VA
NPI
1215557335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: VA 0110007314)
Enumeration Date
2020-04-18
Last Update Date
2020-07-03
Business Address
KATY HUGHES FEDORKO
100 EMANCIPATION DR
HAMPTON, VA 23667-2906
Phone number: 757-722-9961
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Mailing Address
KATY HUGHES FEDORKO
1614 COUGAR AVE
NORFOLK, VA 23518-2906
Phone number: 757-374-8861
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