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1679814669
MARY WALTERS
MANASSAS, VA
NPI
1679814669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024170358)
Enumeration Date
2013-03-15
Last Update Date
2017-02-28
Business Address
-- MARY WALTERS
8713 DIGGES RD
MANASSAS, VA 20110-4403
Phone number: 703-330-9222
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Mailing Address
-- MARY WALTERS
4701 SPOTSYLVANIA PKWY
FREDERICKSBURG, VA 22407-9435
Phone number: 540-785-7810
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