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Individual

DR. EDWARD NANA MINTA OKATAH-BOI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PHARMD

Contact information

Practice address
4630 DAISY REID AVE APT 402, WOODBRIDGE, VA 22192-7818
(571) 338-2997
Mailing address
4630 DAISY REID AVE APT 402, WOODBRIDGE, VA 22192-7818
(571) 338-2997

Taxonomy

Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
0202210931
VA

Other

Enumeration date
07/20/2012
Last updated
07/20/2012
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