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1851041727
CRIS ANTAO DIGAMO
CENTREVILLE, VA
NPI
1851041727
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246RP1900X Technician, Pathology, Phlebotomy
(Licence: MD 20-0217R)
Enumeration Date
2022-03-24
Last Update Date
2022-03-24
Business Address
CRIS ANTAO DIGAMO Lab Technician
14422 COOL OAK LN
CENTREVILLE, VA 20121-2235
Phone number: 202-247-1812
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Mailing Address
CRIS ANTAO DIGAMO Lab Technician
14422 COOL OAK LN
CENTREVILLE, VA 20121-2235
Phone number: 202-247-1871
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