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1467519751
MERVET EL ASSAL MAXIMOUS
SOUTH HILL, VA
NPI
1467519751
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: VA 0101053050)
Enumeration Date
2007-01-03
Last Update Date
2007-07-08
Business Address
-- MERVET EL ASSAL MAXIMOUS MD
416 DURANT ST
SOUTH HILL, VA 23970-1614
Phone number: 434-774-2500
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Mailing Address
-- MERVET EL ASSAL MAXIMOUS MD
PO BOX 456
BRACEY, VA 23919-0456
Phone number: 434-774-2500
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