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1437467115
THOMAS MICHAEL BOUSMAN
VIRGINIA BEACH, VA
NPI
1437467115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 011001605)
Enumeration Date
2010-09-16
Last Update Date
2010-09-16
Business Address
THOMAS MICHAEL BOUSMAN PA
1133 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454-2402
Phone number: 757-496-2050
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Mailing Address
THOMAS MICHAEL BOUSMAN PA
1133 FIRST COLONIAL RD
VIRGINIA BEACH, VA 23454-2402
Phone number: 757-496-2050
Copy
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