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1619021250
DEMETRA LATRICE TATE
VIRGINIA BEACH, VA
NPI
1619021250
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110002414)
Enumeration Date
2007-01-22
Last Update Date
2023-10-30
Business Address
DEMETRA LATRICE TATE PA
1060 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454-3002
Phone number: 757-395-2323
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Mailing Address
DEMETRA LATRICE TATE PA
2800 GODWIN BLVD
SUFFOLK, VA 23434-8038
Phone number: 757-934-4821
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