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1730580085
ANN LEWIS SHIELDS
GLEN ALLEN, VA
NPI
1730580085
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: VA 0024172019)
Enumeration Date
2014-09-05
Last Update Date
2014-09-05
Business Address
-- ANN LEWIS SHIELDS P.N.P.
4687 POUNCEY TRACT RD
GLEN ALLEN, VA 23059-5802
Phone number: 804-422-5437
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Mailing Address
-- ANN LEWIS SHIELDS P.N.P.
1400 1/2 BELLEVUE AVE
RICHMOND, VA 23227-4005
Phone number:
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