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1215329966
MIGUEL UGALDE
FAIRFAX, VA
NPI
1215329966
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
Enumeration Date
2015-03-03
Last Update Date
2018-09-06
Business Address
MIGUEL UGALDE
12011 LEE JACKSON MEMORIAL HWY STE 501
FAIRFAX, VA 22033
Phone number: 703-259-7027
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Mailing Address
MIGUEL UGALDE
PO BOX 221135
CHANTILLY, VA 20153-1135
Phone number: 703-349-1379
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