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1992755276
JEMAL OMIDVAR
ALEXANDRIA, VA
NPI
1992755276
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: VA 0101236440)
Enumeration Date
2006-05-10
Last Update Date
2013-07-30
Business Address
Dr. JEMAL OMIDVAR M.D.
5130 DUKE ST SUITE 7
ALEXANDRIA, VA 22304-2924
Phone number: 202-552-9683
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Mailing Address
Dr. JEMAL OMIDVAR M.D.
5130 DUKE ST SUITE 7
ALEXANDRIA, VA 22304-2924
Phone number: 202-552-9683
Copy
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