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1053541607
IYLA TIKHONOV
FALLS CHURCH, VA
NPI
1053541607
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AS0400X Physician Assistant, Surgical
(Licence: VA 06-228)
Enumeration Date
2009-07-16
Last Update Date
2009-07-21
Business Address
Dr. IYLA TIKHONOV CSA
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3307
Phone number: 703-776-4094
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Mailing Address
Dr. IYLA TIKHONOV CSA
3378 WOODBURN RD APT T3
ANNANDALE, VA 22003-6817
Phone number: 703-470-5588
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