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1114005410
KATHRYN IANNIELLO
RICHMOND, VA
NPI
1114005410
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110001271)
Enumeration Date
2006-11-02
Last Update Date
2007-07-09
Business Address
Ms. KATHRYN IANNIELLO PA
1250 E MARSHALL ST SURGERY/CARDIAC AND THORACIC
RICHMOND, VA 23298-5051
Phone number: 804-828-4628
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Mailing Address
Ms. KATHRYN IANNIELLO PA
PO BOX 91734
RICHMOND, VA 23291-1734
Phone number: 804-358-6100
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