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1417253816
ESAM AL NOUMAN
FAIRFAX, VA
NPI
1417253816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: VA 0136000372)
Enumeration Date
2011-02-02
Last Update Date
2023-08-14
Business Address
ESAM AL NOUMAN LSA
12011 LEE JACKSON MEMORIAL HWY STE 501
FAIRFAX, VA 22033-3315
Phone number: 571-243-1066
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Mailing Address
ESAM AL NOUMAN LSA
PO BOX 45718
BALTIMORE, MD 21297-5718
Phone number: 214-227-2457
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