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1912647603
BAHROM JUSTIN OSTAD
CHARLOTTESVILLE, VA
NPI
1912647603
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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
2022-03-30
Last Update Date
2022-03-30
Business Address
BAHROM JUSTIN OSTAD MD
1215 LEE ST # 800422
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-2224
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Mailing Address
BAHROM JUSTIN OSTAD MD
1215 LEE ST # 800422
CHARLOTTESVILLE, VA 22908-0001
Phone number: 434-924-2224
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