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Individual

MRS. EDEN ROSE FRANGIPANE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
481 CARDINAL LN, WARRENTON, VA 20186-2071
(757) 376-0350
Mailing address
481 CARDINAL LN, WARRENTON, VA 20186-2071
(757) 376-0350

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110-005548
VA

Other

Enumeration date
10/11/2016
Last updated
10/11/2016
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