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1104801497
MICHAEL ANTHONY DISIMONE
FREDERICKSBURG, VA
NPI
1104801497
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: 1070430)
Enumeration Date
2005-12-09
Last Update Date
2015-03-09
Business Address
Mr. MICHAEL ANTHONY DISIMONE MPH, MPAS, PA-C
3501 LAFAYETTE BLVD
FREDERICKSBURG, VA 22408-4130
Phone number: 540-371-7118
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Mailing Address
Mr. MICHAEL ANTHONY DISIMONE MPH, MPAS, PA-C
10805 CEDAR CREEK DR
SPOTSYLVANIA, VA 22551-4689
Phone number: 540-412-9558
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