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1144429564
PHILIP CHARLES BOULANGER
RICHMOND, VA
NPI
1144429564
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Entity Type
Organization
Authorized Contact
PHILIP CHARLES BOULANGER
Owner/President
804-389-2606
Organization Subpart ?
No
Primary Taxonomy
208D00000X General Practice
Enumeration Date
2007-07-16
Last Update Date
2008-06-26
Business Address
PHILIP CHARLES BOULANGER
9401 FERNLEIGH DR
RICHMOND, VA 23235-1311
Phone number: 804-389-2606
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Mailing Address
PHILIP CHARLES BOULANGER
9401 FERNLEIGH DR
RICHMOND, VA 23235-1311
Phone number: 804-389-2606
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