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1699842104
WAYNE THOMAS BRICE
PORTSMOUTH, VA
NPI
1699842104
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: 390200000X)
Enumeration Date
2006-11-29
Last Update Date
2007-07-08
Business Address
-- WAYNE THOMAS BRICE
620 JOHN PAUL JONES CIRCLE
PORTSMOUTH, VA 23708
Phone number: 757-953-3230
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Mailing Address
-- WAYNE THOMAS BRICE
6908 FAIRFAX DR UNIT 112
ARLINGTON, VA 22213-1022
Phone number: 703-401-4864
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