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Individual
VALTHEA COURTNEY FRY
Active
Individual
VALTHEA COURTNEY FRY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
FNP-C
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
0001272787
VA
163W00000X
Registered Nurse
RN2306818
MA
363LF0000X
Family Nurse Practitioner
Primary
0024175696
VA
Other
Enumeration date
02/02/2017
Last updated
04/26/2018
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