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1871660381
LISA FAYE ROSE
PORTSMOUTH, VA
NPI
1871660381
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NC 186312)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
Ms. LISA FAYE ROSE ANP
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 757-953-3649
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Mailing Address
Ms. LISA FAYE ROSE ANP
1 WINDROSE CT
PORTSMOUTH, VA 23703-5092
Phone number: 757-966-5871
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