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1568407070
ISAAC LEAKE WORNOM
RICHMOND, VA
NPI
1568407070
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: VA 0101043924)
Enumeration Date
2006-06-18
Last Update Date
2018-11-28
Business Address
Dr. ISAAC LEAKE WORNOM
1630 WILKES RIDGE PKWY STE 201
RICHMOND, VA 23233-7460
Phone number: 804-285-4115
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Mailing Address
Dr. ISAAC LEAKE WORNOM
14401 SOMMERVILLE CT
MIDLOTHIAN, VA 23113-6836
Phone number: 804-285-4115
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