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1407473465
SAGE TEASLEY
FAIRFAX STATION, VA
NPI
1407473465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
(Licence: LA LA19-1016)
Enumeration Date
2020-06-25
Last Update Date
2020-06-25
Business Address
SAGE TEASLEY EMT
11212 HUNTING HORSE DR
FAIRFAX STATION, VA 22039-2017
Phone number: 703-347-5682
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Mailing Address
SAGE TEASLEY EMT
11212 HUNTING HORSE DR
FAIRFAX STATION, VA 22039-2017
Phone number: 703-347-5682
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