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Individual
JOHN G ANTONAKAKIS
Active
Individual
JOHN G ANTONAKAKIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
0101242954
VA
390200000X
Student in an Organized Health Care Education/Training Program
116015815
VA
Other
Enumeration date
05/17/2007
Last updated
10/10/2008
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