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1174300396
OMAR ABDEL RAZZAQ
MIDLOTHIAN, VA
NPI
1174300396
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024187844)
Enumeration Date
2023-09-11
Last Update Date
2023-09-11
Business Address
OMAR ABDEL RAZZAQ
14404 SOMMERVILLE CT
MIDLOTHIAN, VA 23113-6835
Phone number: 804-378-1800
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Mailing Address
OMAR ABDEL RAZZAQ
8803 LAWNDELL RD
HENRICO, VA 23229-3129
Phone number: 804-824-7115
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