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1063590446
MICHELLE RENE SEALOCK
FAIRFAX, VA
NPI
1063590446
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110002301)
Enumeration Date
2006-11-01
Last Update Date
2010-09-30
Business Address
Ms. MICHELLE RENE SEALOCK P.A.-C
11211 WAPLES MILL RD SUITE 200
FAIRFAX, VA 22030-7406
Phone number: 703-246-9560
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Mailing Address
Ms. MICHELLE RENE SEALOCK P.A.-C
13040 LIMESTONE CT
CLIFTON, VA 20124-0967
Phone number: 703-801-0929
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