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1255049201
KATHAREEYA MEDEIROS
WHITEMAN AIR FORCE BASE, MO
NPI
1255049201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-11-08
Last Update Date
2023-04-17
Business Address
KATHAREEYA MEDEIROS PA-C
702 TITAN LOOP
WHITEMAN AIR FORCE BASE, MO 65305-1242
Phone number: 603-933-0483
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Mailing Address
KATHAREEYA MEDEIROS PA-C
77 NEALY AVE
HAMPTON, VA 23665-2040
Phone number: 757-225-7630
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