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1699130286
KATELIN JACKFERT EMORY
FAIRFAX, VA
NPI
1699130286
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024173156)
Enumeration Date
2015-12-23
Last Update Date
2018-09-14
Business Address
KATELIN JACKFERT EMORY
8505 ARLINGTON BLVD
FAIRFAX, VA 22031-4621
Phone number: 703-280-1234
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Mailing Address
KATELIN JACKFERT EMORY
4168 ZINNIA LN
FAIRFAX, VA 22030-6046
Phone number: 304-395-0444
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