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1669954335
KRYSTYNA LEE PORTELL
CHARLOTTESVILLE, VA
NPI
1669954335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024175928)
Enumeration Date
2018-08-30
Last Update Date
2018-11-09
Business Address
KRYSTYNA LEE PORTELL FNP
1450 SACHEM PL UNIT 201
CHARLOTTESVILLE, VA 22901-2554
Phone number: 434-973-9744
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Mailing Address
KRYSTYNA LEE PORTELL FNP
1053 TILMAN RD
CHARLOTTESVILLE, VA 22901-6337
Phone number: 434-242-6178
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