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1225880925
RICHARD ILOG
SPRINGFIELD, VA
NPI
1225880925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: VA 8983)
Enumeration Date
2024-04-04
Last Update Date
2024-04-04
Business Address
RICHARD ILOG
7026 COMMERCE ST
SPRINGFIELD, VA 22150-3433
Phone number: 301-728-4956
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Mailing Address
RICHARD ILOG
7026 COMMERCE ST
SPRINGFIELD, VA 22150-3433
Phone number: 301-728-4956
Copy
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