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1467535054
LOUISE ALICE PESNICAK
VIRGINIA BEACH, VA
NPI
1467535054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024164614)
Enumeration Date
2006-10-24
Last Update Date
2007-07-09
Business Address
-- LOUISE ALICE PESNICAK LNP
297 INDEPENDENCE BLVD STE 126
VIRGINIA BEACH, VA 23462-2836
Phone number: 757-437-6160
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Mailing Address
-- LOUISE ALICE PESNICAK LNP
557 CANTERBURY RD
VIRGINIA BEACH, VA 23452-7001
Phone number: 757-340-4545
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