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1780864207
SHIRLEY MAE STRUCK
ANNANDALE, VA
NPI
1780864207
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: VA 0002075401)
Enumeration Date
2007-11-13
Last Update Date
2007-11-13
Business Address
SHIRLEY MAE STRUCK L.P.N.
3340 WOODBURN RD
ANNANDALE, VA 22003-1202
Phone number: 703-207-7713
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Mailing Address
SHIRLEY MAE STRUCK L.P.N.
3340 WOODBURN RD
ANNANDALE, VA 22003-1202
Phone number: 703-207-7713
Copy
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