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1417906801
ROXANA GABRIELLA BANTLE
MIDLOTHIAN, VA
NPI
1417906801
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: VA 0101240121)
Enumeration Date
2006-05-10
Last Update Date
2024-05-29
Business Address
ROXANA GABRIELLA BANTLE MD
13925 COALFIELD COMMONS PL STE 201
MIDLOTHIAN, VA 23114-1225
Phone number: 804-378-4420
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Mailing Address
ROXANA GABRIELLA BANTLE MD
13925 COALFIELD COMMONS PL STE 201
MIDLOTHIAN, VA 23114-1225
Phone number: 804-378-4420
Copy
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