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1881315125
JESSICA LA
GAINESVILLE, VA
NPI
1881315125
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: VA 0024185108)
Enumeration Date
2022-09-06
Last Update Date
2022-09-06
Business Address
JESSICA LA FNP
8078 CRESCENT PARK DR STE 201
GAINESVILLE, VA 20155-3449
Phone number: 703-753-4999
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Mailing Address
JESSICA LA FNP
5216 ELLICOTT CT
CENTREVILLE, VA 20120-1726
Phone number: 703-789-4392
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