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1871292169
ANTHONY JAMES VIDECKIS
WASHINGTON, DC
NPI
1871292169
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-02-27
Last Update Date
2023-02-27
Business Address
ANTHONY JAMES VIDECKIS
3800 RESERVOIR RD NW
WASHINGTON, DC 20007-2113
Phone number: 630-675-1070
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Mailing Address
ANTHONY JAMES VIDECKIS
3661 WINFIELD LN NW
WASHINGTON, DC 20007-2350
Phone number: 630-675-1070
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