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1497298616
MARIO ZAVALA
VIRGINIA BEACH, VA
NPI
1497298616
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2016-11-19
Last Update Date
2016-11-19
Business Address
-- MARIO ZAVALA
408 N AMSTERDAM CT
VIRGINIA BEACH, VA 23454-4213
Phone number: 310-803-2890
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Mailing Address
-- MARIO ZAVALA
408 N AMSTERDAM CT
VIRGINIA BEACH, VA 23454-4213
Phone number:
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