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1871578534
JARED LEE ANTEVIL
PORTSMOUTH, VA
NPI
1871578534
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208G00000X Thoracic Surgery (Cardiothoracic Vascular Surgery)
(Licence: VA 0101246647)
Enumeration Date
2005-12-14
Last Update Date
2016-04-25
Business Address
Dr. JARED LEE ANTEVIL M.D.
620 JOHN PAUL JONES CIR DEPT OF CT SURGERY, NAVAL MEDICAL CENTER PORTSMOUTH
PORTSMOUTH, VA 23708-2197
Phone number: 757-953-2489
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Mailing Address
Dr. JARED LEE ANTEVIL M.D.
620 JOHN PAUL JONES CIRCLE DEPT OF CT SURGERY,
PORTSMOUTH, VA 23708-2197
Phone number: 757-953-2489
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