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1487721445
LEOCADIO B PENALOSA JR
PORTSMOUTH, VA
NPI
1487721445
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Entity Type
Organization
Authorized Contact
LEOCADIO B PENALOSA
Physician Owner
757-397-5301
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2006-11-28
Last Update Date
2008-06-17
Business Address
LEOCADIO B PENALOSA JR
301 GOODE WAY STE 204
PORTSMOUTH, VA 23704
Phone number: 757-397-5301
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Mailing Address
LEOCADIO B PENALOSA JR
301 GOODE WAY STE 204
PORTSMOUTH, VA 23704
Phone number: 757-397-5301
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