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1396814935
THOMAS W. TILLACK
CHARLOTTESVILLE, VA
NPI
1396814935
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: VA 0101027924)
Enumeration Date
2006-11-07
Last Update Date
2007-07-08
Business Address
THOMAS W. TILLACK
LEE ST
CHARLOTTESVILLE, VA 22908-0001
Phone number: 434-924-0000
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Mailing Address
THOMAS W. TILLACK
500 RAY C HUNT DR
CHARLOTTESVILLE, VA 22903-2981
Phone number:
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