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1336984830
JALLOH MENDEGILLA
WOODBRIDGE, VA
NPI
1336984830
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024189986)
Enumeration Date
2024-06-26
Last Update Date
2024-06-26
Business Address
JALLOH MENDEGILLA FNP
4428 TORRENCE PL
WOODBRIDGE, VA 22193-5720
Phone number: 571-991-9662
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Mailing Address
JALLOH MENDEGILLA FNP
4428 TORRENCE PL
WOODBRIDGE, VA 22193-5720
Phone number: 571-991-9662
Copy
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