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1851660039
BOSHRA Z AYAD
CHESTER, VA
NPI
1851660039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Q00000X Developmental Therapist
(Licence: VA 2305203983)
Enumeration Date
2011-12-18
Last Update Date
2011-12-18
Business Address
-- BOSHRA Z AYAD pt
15127 ALDERWOOD TER
CHESTER, VA 23831-6905
Phone number: 804-717-5427
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Mailing Address
-- BOSHRA Z AYAD pt
15127 ALDERWOOD TER
CHESTER, VA 23831-6905
Phone number: 804-717-5427
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