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1376004085
RYAN DANIEL FARIAS
CHARLOTTESVILLE, VA
NPI
1376004085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: VA 0116037534)
Enumeration Date
2019-03-26
Last Update Date
2023-07-26
Business Address
RYAN DANIEL FARIAS
1215 LEE STREET BOX #800793
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-1955
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Mailing Address
RYAN DANIEL FARIAS
1215 LEE STREET BOX #800793
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-1955
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