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1437247756
MAURICIO DIONISIO BAS
WOODBRIDGE, VA
NPI
1437247756
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0129X Surgery, Vascular Surgery
(Licence: VA 0101022428)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
Dr. MAURICIO DIONISIO BAS M.D.
1970 OPITZ BLVD
WOODBRIDGE, VA 22191-3304
Phone number: 703-494-8174
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Mailing Address
Dr. MAURICIO DIONISIO BAS M.D.
PO BOX 4806
WOODBRIDGE, VA 22194-4806
Phone number: 703-494-8174
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