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1952452856
JOSE RODRIGO CHARCON
CENTREVILLE, VA
NPI
1952452856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306602233)
Enumeration Date
2007-01-16
Last Update Date
2007-07-08
Business Address
Mr. JOSE RODRIGO CHARCON PTA
5719 CENTRE SQUARE DR
CENTREVILLE, VA 20120
Phone number: 703-818-8804
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Mailing Address
Mr. JOSE RODRIGO CHARCON PTA
5719 CENTRE SQUARE DR
CENTREVILLE, VA 20120
Phone number: 703-818-8804
Copy
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