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1275076101
JUDITH STEWART WACKENHUT
ALEXANDRIA, VA
NPI
1275076101
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: VA 0024087869)
Enumeration Date
2016-11-26
Last Update Date
2016-11-26
Business Address
-- JUDITH STEWART WACKENHUT CPNP
545 TRIADELPHIA WAY
ALEXANDRIA, VA 22312-3496
Phone number: 205-437-8870
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Mailing Address
-- JUDITH STEWART WACKENHUT CPNP
545 TRIADELPHIA WAY
ALEXANDRIA, VA 22312-3496
Phone number: 205-437-8870
Copy
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