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1215011150
MARIE J MANICKAVASAGAR
NORFOLK, VA
NPI
1215011150
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Former Name
MARIE J LUCAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101023631)
Enumeration Date
2006-10-25
Last Update Date
2008-03-04
Business Address
Dr. MARIE J MANICKAVASAGAR M.D
830 SOUTHAMPTON AVE
NORFOLK, VA 23510-1001
Phone number: 757-683-2889
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Mailing Address
Dr. MARIE J MANICKAVASAGAR M.D
830 SOUTHAMPTON AVE
NORFOLK, VA 23510-1001
Phone number: 757-683-2889
Copy
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