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1073674594
RUTH AVIGAN MANN
RESTON, VA
NPI
1073674594
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080A0000X Pediatrics, Adolescent Medicine
(Licence: VA 0101037069)
Enumeration Date
2006-12-12
Last Update Date
2007-07-08
Business Address
-- RUTH AVIGAN MANN M.D.
11130 SUNRISE VALLEY DR SUITE #150
RESTON, VA 20191-4398
Phone number: 703-262-0100
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Mailing Address
-- RUTH AVIGAN MANN M.D.
11130 SUNRISE VALLEY DR SUITE #150
RESTON, VA 20191-4398
Phone number: 703-262-0100
Copy
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