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1164859930
BARRY BERTOLASIO
VIRGINIA BEACH, VA
NPI
1164859930
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2013-10-10
Last Update Date
2013-10-10
Business Address
-- BARRY BERTOLASIO IDC
1840 GATOR BLVD BUILDING 3841
VIRGINIA BEACH, VA 23459-8931
Phone number: 757-763-3321
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Mailing Address
-- BARRY BERTOLASIO IDC
835 CRASHAW ST
VIRGINIA BEACH, VA 23462-6913
Phone number: 757-288-5747
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