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1114660289
TEDRIC LOLIS
MARTINSBURG, WV
NPI
1114660289
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
Enumeration Date
2022-04-18
Last Update Date
2023-01-17
Business Address
TEDRIC LOLIS PA-C
1008 TAVERN RD STE 102
MARTINSBURG, WV 25401-2801
Phone number: 304-263-5129
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Mailing Address
TEDRIC LOLIS PA-C
220 CAMPUS BLVD STE 210
WINCHESTER, VA 22601-2889
Phone number: 540-536-5100
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