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Case Number and Status

Case Number: I-200-17111-455850

Submitted on:

CERTIFIED

on:

Employment

From: 2017-07-01

To: 2020-06-30 (1,095 days)

Address

7300 Beaufont Springs Dr
Richmond, VA 23225

Phone

8042675950


Attorney Summary

Location
Cincinnati, OH

Job Summary

Job Title
Physician
City and State
Terre Haute, IN
County
Vigo

Soc Code
29-1069.00
Naics Code
Industry Code
621111