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1871020644
SAMUEL JOHN MACCORMICK
CHARLOTTESVILLE, VA
NPI
1871020644
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2017-05-11
Last Update Date
2017-05-11
Business Address
Mr. SAMUEL JOHN MACCORMICK M.B.B.Ch, B.A.O
1215 LEE STREET
CHARLOTTESVILLE, VA 22908
Phone number: 434-924-9508
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Mailing Address
Mr. SAMUEL JOHN MACCORMICK M.B.B.Ch, B.A.O
PO BOX 800136
CHARLOTTESVILLE, VA 22908
Phone number: 434-924-8145
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