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1922093806
BOGALE JIMA
MIDLOTHIAN, VA
NPI
1922093806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0101057119)
Enumeration Date
2005-09-15
Last Update Date
2022-01-20
Business Address
Mr. BOGALE JIMA MD
13861 HULL STREET RD
MIDLOTHIAN, VA 23112-2091
Phone number: 804-739-0910
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Mailing Address
Mr. BOGALE JIMA MD
13861 HULL STREET RD
MIDLOTHIAN, VA 23112-2091
Phone number: 804-739-0910
Copy
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