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Individual

JULIE LETSEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
493 BLACKWELL RD, SUITE 202, WARRENTON, VA 20186-2639
(540) 347-4400
(540) 341-8610
Mailing address
PO BOX 1460, FREDERICKSBURG, VA 22402-1460
(540) 786-2100

Taxonomy

Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
0110003837
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1881956282
VA
Enumeration date
06/12/2012
Last updated
10/28/2014
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