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Individual

DR. MICHAEL L. DEANGELO

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
100 EMANCIPATION DR, HAMPTON, VA 23667-0001
(757) 722-9961
Mailing address
717 9TH ST, VIRGINIA BEACH, VA 23451-4501

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202205449
VA

Other

Enumeration date
04/11/2006
Last updated
07/08/2007
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