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1861955031
LOIS TATUM PENN
RESTON, VA
NPI
1861955031
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024177462)
Enumeration Date
2019-04-12
Last Update Date
2019-04-12
Business Address
LOIS TATUM PENN Nurse Practitioner
12018 SUNRISE VALLEY DR
RESTON, VA 20191-3432
Phone number: 571-262-5200
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Mailing Address
LOIS TATUM PENN Nurse Practitioner
12018 SUNRISE VALLEY DR
RESTON, VA 20191-3432
Phone number: 571-262-5200
Copy
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