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1497974240
LIZA PRUDENTE MOORMAN
CHARLOTTESVILLE, VA
NPI
1497974240
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024166120)
Enumeration Date
2007-04-24
Last Update Date
2009-06-24
Business Address
-- LIZA PRUDENTE MOORMAN N.P.
LEE STREET GROUND FLOOR
CHARLOTTESVILLE, VA 22908-0001
Phone number: 434-982-3817
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Mailing Address
-- LIZA PRUDENTE MOORMAN N.P.
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number: 434-295-1000
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