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1023499514
ELENA SHORT
WOODBRIDGE, VA
NPI
1023499514
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: DC MTL002853)
Enumeration Date
2015-06-10
Last Update Date
2021-12-08
Business Address
ELENA SHORT
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192-4644
Phone number: 703-359-7878
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Mailing Address
ELENA SHORT
1150 VARNUM ST NE
WASHINGTON, DC 20017-2104
Phone number:
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