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1003843541
SWEN ERICSON LASER
FISHERSVILLE, VA
NPI
1003843541
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: VA 0101230281)
Enumeration Date
2006-06-28
Last Update Date
2014-11-24
Business Address
-- SWEN ERICSON LASER MD
AUGUSTA MEDICAL CENTER ANESTHESIA DEPT 78 MEDICAL CENTER DRIVE
FISHERSVILLE, VA 22939
Phone number: 540-427-4406
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Mailing Address
-- SWEN ERICSON LASER MD
PO BOX 890580
CHARLOTTE, NC 28289-0580
Phone number: 540-427-4406
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