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Individual

SAMUEL AGYEI BRIGHT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
12801 NIGHT OWL CT, BRISTOW, VA 20136-5101
(703) 597-4046
(703) 597-4046
Mailing address
12801 NIGHT OWL CT, BRISTOW, VA 20136-5101
(703) 597-4046
(703) 597-4046

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
VA

Other

Enumeration date
11/15/2017
Last updated
11/15/2017
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