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1861970766
MARK EUGENE BODZISLAW
ALEXANDRIA, VA
NPI
1861970766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: VA 0121000889)
Enumeration Date
2018-08-02
Last Update Date
2018-08-02
Business Address
MARK EUGENE BODZISLAW L.AC.
2111 EISENHOWER AVE STE 402
ALEXANDRIA, VA 22314-4679
Phone number: 703-717-9088
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Mailing Address
MARK EUGENE BODZISLAW L.AC.
13143 PUTNAM CIR
WOODBRIDGE, VA 22191-1026
Phone number: 727-692-3880
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