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1962430298
MARIE MICHELLE PORTHOUSE
FREDERICKSBURG, VA
NPI
1962430298
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024079016)
Enumeration Date
2006-06-28
Last Update Date
2015-10-28
Business Address
-- MARIE MICHELLE PORTHOUSE N.P.
4501 EMPIRE CT
FREDERICKSBURG, VA 22408-1949
Phone number: 540-891-1200
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Mailing Address
-- MARIE MICHELLE PORTHOUSE N.P.
4501 EMPIRE CT
FREDERICKSBURG, VA 22408-1949
Phone number: 540-891-1200
Copy
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