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1760521512
MICHAEL D MORTIERE
ALEXANDRIA, VA
NPI
1760521512
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110840514)
Enumeration Date
2007-02-06
Last Update Date
2007-09-25
Business Address
Mr. MICHAEL D MORTIERE PA-C
4320 SEMINARY ROAD ALEXANDRIA HOSPITAL
ALEXANDRIA, VA 22304
Phone number: 703-504-3066
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Mailing Address
Mr. MICHAEL D MORTIERE PA-C
1300 PICCARD DRIVE SUITE 202
ROCKVILLE, MD 20850-4303
Phone number: 301-921-7900
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