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1588427108
GODSWILL EVOUKA
FREDERICKSBURG, VA
NPI
1588427108
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024189422)
Enumeration Date
2024-02-05
Last Update Date
2024-02-05
Business Address
GODSWILL EVOUKA
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401-4453
Phone number: 540-741-1100
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Mailing Address
GODSWILL EVOUKA
12977 FREESTONE CT
WOODBRIDGE, VA 22192-6461
Phone number: 571-290-9833
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