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1780314682
MARIAH IDUL
CHESAPEAKE, VA
NPI
1780314682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305214983)
Enumeration Date
2022-06-14
Last Update Date
2022-06-14
Business Address
MARIAH IDUL
501 DISCOVERY DR
CHESAPEAKE, VA 23320-3832
Phone number: 757-547-5145
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Mailing Address
MARIAH IDUL
4084 CONCORDIA WAY
VIRGINIA BEACH, VA 23453-1760
Phone number: 757-636-5849
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