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1740024678
KATHLEEN ST JACQUES
ASHBURN, VA
NPI
1740024678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024190510)
Enumeration Date
2024-06-25
Last Update Date
2024-06-25
Business Address
KATHLEEN ST JACQUES APRN, FNP-BC
21160 MAPLE BRANCH TER
ASHBURN, VA 20147-6160
Phone number: 571-291-6343
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Mailing Address
KATHLEEN ST JACQUES APRN, FNP-BC
24662 KINGS CANYON SQ
ALDIE, VA 20105-2985
Phone number: 610-763-7066
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