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1265865208
PRISCILLA ROSE TAVARES
NORFOLK, VA
NPI
1265865208
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: VA 0024170930)
Enumeration Date
2013-08-13
Last Update Date
2013-08-13
Business Address
-- PRISCILLA ROSE TAVARES CRNA
600 GRESHAM DR
NORFOLK, VA 23507-1904
Phone number: 757-473-0055
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Mailing Address
-- PRISCILLA ROSE TAVARES CRNA
134 BUSINESS PARK DR
VIRGINIA BEACH, VA 23462-6523
Phone number: 757-473-0055
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