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CONVENIENCE URGENT CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
JEAN LAURORE (MD)
(347) 751-3641
Entity
Organization

Contact information

Practice address
15521 REAL ESTATE AVE, SUITE 206, KING GEORGE, VA 22485-5327
(347) 751-3641
Mailing address
1010 W KENSINGTON CIR, FREDERICKSBURG, VA 22401-8003

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101243632
VA

Other

Enumeration date
10/17/2016
Last updated
10/17/2016
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