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1053949537
ESOSA EDOSOMWAN
FAIRFAX, VA
NPI
1053949537
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133N00000X Nutritionist
(Licence: MD DX4886)
Enumeration Date
2020-03-30
Last Update Date
2020-04-02
Business Address
ESOSA EDOSOMWAN
3970 CHAIN BRIDGE RD
FAIRFAX, VA 22030-3316
Phone number: 202-643-5703
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Mailing Address
ESOSA EDOSOMWAN
3970 CHAIN BRIDGE RD
FAIRFAX, VA 22030-3316
Phone number: 202-643-5703
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