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1255337143
ERIC D POULIN
NORFOLK, VA
NPI
1255337143
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110001720)
Enumeration Date
2005-06-24
Last Update Date
2008-04-01
Business Address
-- ERIC D POULIN PA
5900 LAKE WRIGHT DR
NORFOLK, VA 23502-1871
Phone number: 757-466-8683
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Mailing Address
-- ERIC D POULIN PA
5900 LAKE WRIGHT DR SUITE 300
NORFOLK, VA 23502-1871
Phone number: 757-213-5700
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