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1184027161
OLD TOWN MANASSAS MEDICAL CENTER
MANASSAS, VA
NPI
1184027161
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Entity Type
Organization
Authorized Contact
FLAVIANO DAZO
Owner
703-365-0397
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: VA 0663198-0)
Enumeration Date
2014-10-03
Last Update Date
2014-10-03
Business Address
OLD TOWN MANASSAS MEDICAL CENTER
9003 CHURCH ST
MANASSAS, VA 20110-5410
Phone number: 703-365-0397
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Mailing Address
OLD TOWN MANASSAS MEDICAL CENTER
9003 CHURCH ST
MANASSAS, VA 20110-5410
Phone number: 703-365-0397
Copy
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