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1922007053
HENDRA AUGUSTINUS SANUSI
CHARLOTTESVILLE, VA
NPI
1922007053
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101047354)
Enumeration Date
2005-07-20
Last Update Date
2012-11-01
Business Address
-- HENDRA AUGUSTINUS SANUSI MD
535 WESTFIELD RD SUITE 200
CHARLOTTESVILLE, VA 22901-1725
Phone number: 434-973-4040
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Mailing Address
-- HENDRA AUGUSTINUS SANUSI MD
535 WESTFIELD RD SUITE 200
CHARLOTTESVILLE, VA 22901-1725
Phone number: 434-973-4040
Copy
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