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1366096380
SAMSON ASBU ABRAHAM
WOODBRIDGE, VA
NPI
1366096380
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
3747A0650X Technician Attendant Care Provider
(Licence: VA A69626876)
Enumeration Date
2019-07-29
Last Update Date
2019-07-29
Business Address
MR. SAMSON ASBU ABRAHAM
12691 CASTILE CT
WOODBRIDGE, VA 22192-3142
Phone number: 571-486-6637
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Mailing Address
MR. SAMSON ASBU ABRAHAM
12691 CASTILE CT
WOODBRIDGE, VA 22192-3142
Phone number: 571-486-6637
Copy
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