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Individual

MS. DANYELLE MARIE OWEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1101 SAM PERRY BLVD, SUITE 314, FREDERICKSBURG, VA 22401-4467
(540) 374-3200
Mailing address
1101 SAM PERRY BLVD STE 314, FREDERICKSBURG, VA 22401-4466
(540) 374-3200

Taxonomy

Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
0110002924
VA

Other

Enumeration date
12/10/2008
Last updated
01/15/2013
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