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1528202280
MYRA CALONGCAGONG OLIVEROS
FREDERICKSBURG, VA
NPI
1528202280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: VA 2305205351)
Enumeration Date
2009-04-25
Last Update Date
2009-04-25
Business Address
Mrs. MYRA CALONGCAGONG OLIVEROS PT
11 DAIRY LN
FREDERICKSBURG, VA 22405-2663
Phone number: 540-371-9414
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Mailing Address
Mrs. MYRA CALONGCAGONG OLIVEROS PT
18075 TOMPKINS CT
DUMFRIES, VA 22026-2477
Phone number:
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