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1619504388
TENNESSEE PARK
CHARLOTTESVILLE, VA
NPI
1619504388
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-03-24
Last Update Date
2020-03-24
Business Address
TENNESSEE PARK MD
1215 LEE ST MAIL STOP 800699
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-8485
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Mailing Address
TENNESSEE PARK MD
1215 LEE ST MAIL STOP 800699
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-8485
Copy
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