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1356611107
CARLO MIKHAIL LOCSIN CAPULONG
ANNANDALE, VA
NPI
1356611107
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NJ 40qa01894300)
Enumeration Date
2012-01-11
Last Update Date
2024-02-06
Business Address
Mr. CARLO MIKHAIL LOCSIN CAPULONG PT
4706 NATHAN HALE DR APARTMENT 201
ANNANDALE, VA 22003-4984
Phone number: 240-479-0774
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Mailing Address
Mr. CARLO MIKHAIL LOCSIN CAPULONG PT
4706 NATHAN HALE DR APARTMENT 201
ANNANDALE, VA 22003-4984
Phone number: 240-479-0774
Copy
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