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Individual

THOMAS BALLOU PEARSALL

Active
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Individual

THOMAS BALLOU PEARSALL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
0101237889
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
010206979
VA
01
P00265942
RAILROAD MEDICARE
Enumeration date
07/10/2006
Last updated
06/08/2010
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