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1982458139
PRISCILLA QUEEN
VIRGINIA BEACH, VA
NPI
1982458139
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: VA 86151090)
Enumeration Date
2024-04-15
Last Update Date
2024-04-15
Business Address
PRISCILLA QUEEN RD
829 23RD ST
VIRGINIA BEACH, VA 23451-6310
Phone number: 757-389-6123
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Mailing Address
PRISCILLA QUEEN RD
829 23RD ST
VIRGINIA BEACH, VA 23451-6310
Phone number: 757-389-6123
Copy
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