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John Komar, RN

Registered Nurse in Portsmouth, VA. Individual provider (NPI-1).

NPI number1487920161
StatusActive
Last updated in NPPESMar 28, 2012

Details

NPI
1487920161
Entity type
Individual (NPI-1)
Name
Mr. John Komar
Credential
RN
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 28, 2012
Last updated
Mar 28, 2012

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
163W00000X Registered Nurse0001236110VAYes

Practice location

620 John Paul Jones Cir
Portsmouth, VA 23708-2197

Phone 757-953-3523

Mailing address

Po Box 4910
Fort Eustis, VA 23604-4910

Phone 757-954-3523

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