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1962118273
PHILBERT JOHN MASELE
FAIRFAX, VA
NPI
1962118273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician Personal Care Attendant
Enumeration Date
2023-01-30
Last Update Date
2024-05-28
Business Address
PHILBERT JOHN MASELE
10560 MAIN ST STE 600
FAIRFAX, VA 22030-7114
Phone number: 571-419-8612
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Mailing Address
PHILBERT JOHN MASELE
10560 MAIN ST STE 211
FAIRFAX, VA 22030-7176
Phone number: 571-419-8612
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