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1598155012
CARLOS BURGOS
LEESBURG, VA
NPI
1598155012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: VA 0230014819)
Enumeration Date
2015-02-04
Last Update Date
2015-02-04
Business Address
-- CARLOS BURGOS
1200 EDWARDS FERRY RD NE
LEESBURG, VA 20176-3318
Phone number: 703-777-8059
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Mailing Address
-- CARLOS BURGOS
1229 STEED ST
RANSON, WV 25438-5719
Phone number:
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