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1861794372
REGION TEN
CHARLOTTESVILLE, VA
NPI
1861794372
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Entity Type
Organization
Authorized Contact
MARY RUSS
Credentialing
434-972-1800
Organization Subpart ?
No
Primary Taxonomy
251S00000X
(Licence: VA 0701001993)
Enumeration Date
2010-12-03
Last Update Date
2010-12-03
Business Address
REGION TEN
502 OLD LYNCHBURG RD
CHARLOTTESVILLE, VA 22903-6550
Phone number: 434-972-1800
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Mailing Address
REGION TEN
502 OLD LYNCHBURG RD
CHARLOTTESVILLE, VA 22903-6550
Phone number: 434-972-1800
Copy
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