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1710635131
SUSAN TATE
FALLS CHURCH, VA
NPI
1710635131
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024183754)
Enumeration Date
2022-03-15
Last Update Date
2023-03-20
Business Address
SUSAN TATE NP
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-4001
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Mailing Address
SUSAN TATE NP
8406 CROSSLAKE DR
FAIRFAX STATION, VA 22039-2668
Phone number: 719-331-3892
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