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MRS. DORI ANNE ROGUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
APRN, BC

Contact information

Practice address
9501 FARRELL RD, SUITE G-C11, FORT BELVOIR, VA 22060-5901
(703) 805-0490
Mailing address
15529 WINDWARD CT, MONTCLAIR, VA 22025-1251
(703) 680-1264

Taxonomy

Speciality
Code
Description
License number
State
163WP0809X
Adult Psychiatric/Mental Health Registered Nurse
Primary
2940722
FL

Other

Enumeration date
12/12/2006
Last updated
07/08/2007
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