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1235475682
ETNACARE, LLC
STERLING, VA
NPI
1235475682
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Entity Type
Organization
Authorized Contact
NEVEN A UJEVIC
Owner
703-430-0681
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101047083)
Enumeration Date
2012-12-12
Last Update Date
2012-12-12
Business Address
ETNACARE, LLC
45800 JONA DR
STERLING, VA 20165-5685
Phone number: 703-430-0681
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Mailing Address
ETNACARE, LLC
PO BOX 2504
RESTON, VA 20195-0504
Phone number:
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