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Individual

MARY KATHERINE PRATT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
828 HEALTHY WAY STE 350, VIRGINIA BEACH, VA 23462
(757) 705-5265
Mailing address
513 CROATAN RD, VIRGINIA BEACH, VA 23451-7111
(757) 679-9808

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
0110-006199
VA

Other

Enumeration date
06/07/2018
Last updated
06/27/2018
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