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1942738323
DARRELL LEVERN SHAW
FALLS CHURCH, VA
NPI
1942738323
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: DC SA0189)
Enumeration Date
2017-05-30
Last Update Date
2017-05-30
Business Address
DARRELL LEVERN SHAW CST/CSFA
8116 ARLINGTON BLVD STE 183
FALLS CHURCH, VA 22042-1002
Phone number: 703-659-4557
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Mailing Address
DARRELL LEVERN SHAW CST/CSFA
8116 ARLINGTON BLVD STE 183
FALLS CHURCH, VA 22042-1002
Phone number: 703-659-4557
Copy
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