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1598452369
MICHAEL DAVID WHITTENDALE
PORTSMOUTH, VA
NPI
1598452369
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: VA 0116038066)
Enumeration Date
2023-04-20
Last Update Date
2024-03-22
Business Address
MICHAEL DAVID WHITTENDALE DO
620 JOHN PAUL JONES CIR
PORTSMOUTH, VA 23708-2111
Phone number: 631-873-7798
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Mailing Address
MICHAEL DAVID WHITTENDALE DO
1312 BRIARHAVEN DR
BEDFORD, TX 76021-2444
Phone number:
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