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1518576297
OMARI PETERKIN
HAMPTON, VA
NPI
1518576297
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024179795)
Enumeration Date
2020-07-28
Last Update Date
2020-08-24
Business Address
Mr. OMARI PETERKIN PMHNP
2244 EXECUTIVE DR
HAMPTON, VA 23666-2430
Phone number: 757-827-1001
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Mailing Address
Mr. OMARI PETERKIN PMHNP
856 J CLYDE MORRIS BLVD STE A
NEWPORT NEWS, VA 23601-1318
Phone number: 757-316-5800
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