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1578056743
ELIS BOJAXHI
VIRGINIA BEACH, VA
NPI
1578056743
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2018-06-12
Last Update Date
2018-06-12
Business Address
ELIS BOJAXHI IDC
3044 ASHLAWN TER
VIRGINIA BEACH, VA 23452-6508
Phone number: 757-478-1201
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Mailing Address
ELIS BOJAXHI IDC
3044 ASHLAWN TER
VIRGINIA BEACH, VA 23452-6508
Phone number:
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