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Individual

DEBRA MARIE SEQUEIRA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
8920 OTTERBURN ROAD, AMELIA, VA 23002
(804) 561-5150
(804) 561-6643
Mailing address
PO BOX 70, VICTORIA, VA 23974-0070
(434) 696-2165
(434) 696-1557

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
0101237193
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010192854
VA
Enumeration date
11/17/2005
Last updated
03/10/2014
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