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1184310104
MARY JEAN SCOURBOUTAKOS
NORFOLK, VA
NPI
1184310104
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-04-13
Last Update Date
2023-04-13
Business Address
Dr. MARY JEAN SCOURBOUTAKOS MD, PhD
825 FAIRFAX AVE
NORFOLK, VA 23507-1914
Phone number: 757-446-5955
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Mailing Address
Dr. MARY JEAN SCOURBOUTAKOS MD, PhD
PO BOX 1980
NORFOLK, VA 23501-1980
Phone number:
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