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1285955146
THEODORE E TEMOSHCHUK
ALEXANDRIA, VA
NPI
1285955146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: VA 0110000047)
Enumeration Date
2010-06-15
Last Update Date
2010-06-15
Business Address
-- THEODORE E TEMOSHCHUK PA
2501 PARKERS LN
ALEXANDRIA, VA 22306-3209
Phone number: 703-664-7264
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Mailing Address
-- THEODORE E TEMOSHCHUK PA
3207 NORWICH TER
ALEXANDRIA, VA 22309-2129
Phone number: 703-360-7266
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