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Individual

MRS. JEAN RASMUSSEN DUETSCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
CPNP-PC

Contact information

Practice address
1871 GREENBRIER CIR, BLACKSBURG, VA 24060-9280
(540) 922-3618
Mailing address
3700 S MAIN ST, BLACKSBURG, VA 24060-7081
(540) 953-5409

Taxonomy

Speciality
Code
Description
License number
State
163WL0100X
Lactation Consultant (Registered Nurse)
0001154971
VA
363LP0200X
Pediatric Nurse Practitioner
Primary
0024182559
VA

Other

Enumeration date
08/31/2021
Last updated
08/31/2021
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