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1336161538
MICHAEL T RATANATAYA
SUFFOLK, VA
NPI
1336161538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110001343)
Enumeration Date
2006-07-24
Last Update Date
2007-07-08
Business Address
-- MICHAEL T RATANATAYA PA
5818 HARBOUR VIEW BLVD # D SUITE 150
SUFFOLK, VA 23435-3315
Phone number: 757-215-1400
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Mailing Address
-- MICHAEL T RATANATAYA PA
5818 HARBOUR VIEW BLVD # D SUITE 150
SUFFOLK, VA 23435-3315
Phone number: 757-215-1400
Copy
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