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1356617682
SOLOMON HAILEMICHAEL
FAIRFAX, VA
NPI
1356617682
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: DC SA16)
Enumeration Date
2012-03-30
Last Update Date
2018-09-05
Business Address
SOLOMON HAILEMICHAEL LSA, CSA
12011 LEE JACKSON HWY
FAIRFAX, VA 22033
Phone number: 703-505-1022
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Mailing Address
SOLOMON HAILEMICHAEL LSA, CSA
8964 SCOTT ST
SPRINGFIELD, VA 22153-2460
Phone number: 703-505-1022
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