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1184672560
CRAIG DEATLEY
FALLS CHURCH, VA
NPI
1184672560
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 01184672560)
Enumeration Date
2006-05-05
Last Update Date
2018-01-08
Business Address
CRAIG DEATLEY PA
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-3111
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Mailing Address
CRAIG DEATLEY PA
PO BOX 75567
BALTIMORE, MD 21275-5567
Phone number: 888-898-3291
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