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1215213939
BASSIM MOUSA
WARRENTON, VA
NPI
1215213939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 0202209262)
Enumeration Date
2011-10-26
Last Update Date
2011-10-26
Business Address
-- BASSIM MOUSA
276 LEE HWY
WARRENTON, VA 20186
Phone number: 540-347-5917
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Mailing Address
-- BASSIM MOUSA
6442 KATHERINE ANN LANE
SPRINGFIELD, VA 22150
Phone number: 703-362-3409
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