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1649030156
EDWARD TUBBERVILLE
FREDERICKSBURG, VA
NPI
1649030156
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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
2024-03-21
Last Update Date
2024-03-21
Business Address
EDWARD TUBBERVILLE
1001 SAM PERRY BLVD
FREDERICKSBURG, VA 22401-4453
Phone number: 540-741-1100
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Mailing Address
EDWARD TUBBERVILLE
530 W NEW HOPE RD APT C1
GOLDSBORO, NC 27534-7586
Phone number: 321-525-2741
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