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1609201540
PATRICIO PENAHERRERA
SPRINGFIELD, VA
NPI
1609201540
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2013-09-11
Last Update Date
2016-12-09
Business Address
-- PATRICIO PENAHERRERA
89440 OLD KEENE MILL ROAD
SPRINGFIELD, VA 22301
Phone number: 703-569-1300
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Mailing Address
-- PATRICIO PENAHERRERA
119 E LINDEN ST
ALEXANDRIA, VA 22301-2221
Phone number: 516-330-8723
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