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1033893284
MARCO I MIRNICS
FAIRFAX, VA
NPI
1033893284
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305215674)
Enumeration Date
2023-06-09
Last Update Date
2023-06-09
Business Address
MARCO I MIRNICS DPT
10517 BRADDOCK RD STE D
FAIRFAX, VA 22032-2275
Phone number: 571-351-5618
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Mailing Address
MARCO I MIRNICS DPT
PO BOX 1769
MIDDLEBURG, VA 20118-1769
Phone number: 703-299-6688
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