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1821750373
ANTONIA EVANS
CENTREVILLE, VA
NPI
1821750373
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Former Name
ANTONIA SMITH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: VA 0024182843)
Enumeration Date
2021-10-12
Last Update Date
2023-04-13
Business Address
MRS. ANTONIA EVANS NP-C
13880 BRADDOCK RD STE 201
CENTREVILLE, VA 20121-2461
Phone number: 703-802-6304
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Mailing Address
MRS. ANTONIA EVANS NP-C
4155 JEREMY GRV
FAIRFAX, VA 22030-8556
Phone number: 734-352-7254
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