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Individual

BASHIR ALI

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
7263 MAPLE PL, ANNANDALE, VA 22003-3174
(619) 993-3958
Mailing address
7214 ORIOLE AVE, SPRINGFIELD, VA 22150-3505
(619) 993-3958

Taxonomy

Speciality
Code
Description
License number
State
172A00000X
Driver
Primary

Other

Enumeration date
02/04/2021
Last updated
02/04/2021
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