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Individual

MARY A BJORKMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1368 N GREAT NECK RD, VIRGINIA BEACH, VA 23454-2230
(757) 412-0006
Mailing address
1368 N GREAT NECK RD, VIRGINIA BEACH, VA 23454-2230

Taxonomy

Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
0001198755
VA
363L00000X
Nurse Practitioner
Primary
0024167703
VA

Other

Enumeration date
02/08/2008
Last updated
10/27/2011
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