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1003681461
CALVIN LAYNE
FAIRFAX, VA
NPI
1003681461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024188311)
Enumeration Date
2023-11-16
Last Update Date
2024-02-05
Business Address
CALVIN LAYNE PMHNP-BC
10304 EATON PL STE 100
FAIRFAX, VA 22030-2221
Phone number: 571-463-8620
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Mailing Address
CALVIN LAYNE PMHNP-BC
10304 EATON PL STE 100
FAIRFAX, VA 22030-2221
Phone number: 571-463-8620
Copy
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