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1851922041
TERA M STANISTREET
VIRGINIA BEACH, VA
NPI
1851922041
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA PENDING)
Enumeration Date
2020-01-28
Last Update Date
2020-01-28
Business Address
TERA M STANISTREET APRN
101 N LYNNHAVEN RD STE 100
VIRGINIA BEACH, VA 23452-7523
Phone number: 757-264-9957
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Mailing Address
TERA M STANISTREET APRN
101 N LYNNHAVEN RD STE 100
VIRGINIA BEACH, VA 23452-7523
Phone number: 757-264-9957
Copy
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