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1790910008
JOVANNA ROSE MICKIE
FREDERICKSBURG, VA
NPI
1790910008
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110002468)
Enumeration Date
2009-05-16
Last Update Date
2012-11-08
Business Address
Mrs. JOVANNA ROSE MICKIE PA-C
1001 SAM PERRY
FREDERICKSBURG, VA 22408-1822
Phone number: 540-741-1167
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Mailing Address
Mrs. JOVANNA ROSE MICKIE PA-C
1001 SAM PERRY
FREDERICKSBURG, VA 22408-1822
Phone number: 540-741-1167
Copy
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