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Individual

DR. KWAME BINFO ENNIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
1840 TAPPAHANNOCK BLVD, TAPPAHANNOCK, VA 22560
(804) 443-4470
Mailing address
6047 TICKET WAY, WOODBRIDGE, VA 22193-6138
(703) 499-2373

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202207171
VA

Other

Enumeration date
04/13/2011
Last updated
04/13/2011
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