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1811388390
PORSHA MOON
FAIRFAX, VA
NPI
1811388390
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: VA 0230012490)
Enumeration Date
2015-02-05
Last Update Date
2015-02-05
Business Address
-- PORSHA MOON
10301 NEW GUINEA RD
FAIRFAX, VA 22032-3268
Phone number: 703-764-5112
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Mailing Address
-- PORSHA MOON
4338 SOUTHERN HILLS DR SW
ROANOKE, VA 24014-5225
Phone number:
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