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1467110890
STEPHEN FILS BAZILME
WOODBRIDGE, VA
NPI
1467110890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: PR 000683-P.A.)
Enumeration Date
2021-12-02
Last Update Date
2021-12-02
Business Address
STEPHEN FILS BAZILME PA-C
12758 WOOD HOLLOW DR APT 1721
WOODBRIDGE, VA 22192-6545
Phone number: 561-331-7471
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Mailing Address
STEPHEN FILS BAZILME PA-C
12758 WOOD HOLLOW DR APT 1721
WOODBRIDGE, VA 22192-6545
Phone number: 561-331-7471
Copy
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