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1255763835
THERESA JOHNSON
NORFOLK, VA
NPI
1255763835
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: VA 0024170927)
Enumeration Date
2013-08-06
Last Update Date
2015-01-27
Business Address
-- THERESA JOHNSON AGACNP
600 GRESHAM DR
NORFOLK, VA 23507-1904
Phone number: 904-710-6949
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Mailing Address
-- THERESA JOHNSON AGACNP
600 GRESHAM DRIVE
NORFOLK, VA 23507
Phone number: 757-388-3059
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