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1831268440
FERN R. HAUCK
CHARLOTTESVILLE, VA
NPI
1831268440
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101229164)
Enumeration Date
2006-11-07
Last Update Date
2021-07-31
Business Address
FERN R. HAUCK
1221 LEE ST
CHARLOTTESVILLE, VA 22908-0001
Phone number: 434-924-5348
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Mailing Address
FERN R. HAUCK
PO BOX 9007
CHARLOTTESVILLE, VA 22906-9007
Phone number:
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