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1215303961
CHARLES SANTOS
FREDERICKSBURG, VA
NPI
1215303961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306604235)
Enumeration Date
2015-08-18
Last Update Date
2015-08-18
Business Address
CHARLES SANTOS
9300 ONYX CT
FREDERICKSBURG, VA 22407-9329
Phone number: 757-639-2200
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Mailing Address
CHARLES SANTOS
36 MUSTER DR
STAFFORD, VA 22554-8503
Phone number: 757-639-2200
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