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1184098402
JUDE WARNER LASERNA
MANASSAS, VA
NPI
1184098402
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2251G0304X Physical Therapist, Geriatrics
(Licence: VA 2305207587)
Enumeration Date
2015-11-24
Last Update Date
2015-11-24
Business Address
Mr. JUDE WARNER LASERNA PT
8605 CENTREVILLE RD
MANASSAS, VA 20110-5265
Phone number: 703-257-6258
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Mailing Address
Mr. JUDE WARNER LASERNA PT
14006 GUNNERS PL
CENTREVILLE, VA 20121-3536
Phone number: 804-931-0245
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