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1083256077
EDITA UNTALAN
VA BEACH, VA
NPI
1083256077
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2019-10-11
Last Update Date
2019-10-11
Business Address
EDITA UNTALAN
4713 BOXFORD RD
VA BEACH, VA 23456-5009
Phone number: 757-376-1755
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Mailing Address
EDITA UNTALAN
4713 BOXFORD RD
VA BEACH, VA 23456-5009
Phone number: 757-376-1755
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