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1063559177
TANIA M PARISE
LANGLEY AFB, VA
NPI
1063559177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: FL PT 21340)
Enumeration Date
2007-01-30
Last Update Date
2007-07-08
Business Address
Mrs. TANIA M PARISE PT
1ST MEDICAL GROUP 45 PINE RD
LANGLEY AFB, VA 23665-2080
Phone number: 757-764-6963
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Mailing Address
Mrs. TANIA M PARISE PT
1ST MEDICAL GROUP 45 PINE RD
LANGLEY AFB, VA 23665-2080
Phone number: 757-764-6963
Copy
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