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Individual
STEVEN SHELDON JAGDEO
Active
Individual
STEVEN SHELDON JAGDEO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BSC. PHARM
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202208778
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0202208778
STATE LICENSE
VA
Enumeration date
03/31/2011
Last updated
03/31/2011
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