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Individual

MR. SHARON 01 FURNEY

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
200 W CONSTANCE RD, SUFFOLK, VA 23434-4413
(757) 539-8744
Mailing address
1332 RUDDY OAK CT, VIRGINIA BEACH, VA 23453-2830
(757) 714-4633

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
1062438
VA

Other

Enumeration date
06/02/2008
Last updated
06/02/2008
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