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1427428937
TINA BORDONARO
FRONT ROYAL, VA
NPI
1427428937
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Former Name
TINA NICOLE THOMAS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: MD C0005787)
Enumeration Date
2015-09-28
Last Update Date
2018-05-31
Business Address
TINA BORDONARO
920 N SHENANDOAH AVE STE 101
FRONT ROYAL, VA 22630
Phone number: 540-551-5564
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Mailing Address
TINA BORDONARO
11350 MCCORMICK RD EXECUTIVE PLAZA 1, SUITE 501
HUNT VALLEY, MD 21031
Phone number: 410-329-1071
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