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1326004763
JUDY NAOMI STREET
GRUNDY, VA
NPI
1326004763
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024164960)
Enumeration Date
2006-04-25
Last Update Date
2007-07-08
Business Address
-- JUDY NAOMI STREET FNP
RT 460 EAST GRUNDY PLAZA FAMILY CARE CENTER
GRUNDY, VA 24614-1440
Phone number: 276-935-2677
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Mailing Address
-- JUDY NAOMI STREET FNP
PO BOX 1440
GRUNDY, VA 24614-1440
Phone number: 276-935-2677
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