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1104343532
BOULOUTE HEALTHCARE SERVICES, LLC
WOODBRIDGE, VA
NPI
1104343532
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Entity Type
Organization
Authorized Contact
OWMY BOULOUTE
Owner
678-517-4214
Organization Subpart ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: VA 01303301212)
Enumeration Date
2017-08-25
Last Update Date
2017-08-25
Business Address
BOULOUTE HEALTHCARE SERVICES, LLC
5049 ANCHORSTONE DR
WOODBRIDGE, VA 22192-8320
Phone number: 678-517-4214
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Mailing Address
BOULOUTE HEALTHCARE SERVICES, LLC
8653 16TH ST UNIT 7186
SILVER SPRING, MD 20907-7909
Phone number: 678-517-4214
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