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MR. VICTOR DEAN

Surgical >> Physician Assistant >> Physician Assistants & Advanced Practice Nursing Providers

Registrant NPI Number: 1932241189

Individual Registrant:
MR. VICTOR  DEAN 
Gender: M
Not Sole Proprietor

Location and contact information for practice:
110 IRVING STREET NW  WASHINGTON, DC, DC 20010 US
Tel: 202-877-5580  Fax: --

Contact information for business:
7278 MEADOW WOOD WAY  CLARKSVILLE, MD 21029-1517 US
Tel: 301-490-3290  Fax: --

Registration Information:
NPI: 1932241189
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y363AS0400XPhysician Assistants & Advanced Practice Nursing Providers
Physician Assistant
Surgical
DCPA 30074

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS DC - Page 1

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