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1073822482
NICOL LYNN SCHWANDT
FAIRFAX, VA
NPI
1073822482
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110003745)
Enumeration Date
2010-10-03
Last Update Date
2018-07-05
Business Address
NICOL LYNN SCHWANDT PA
10100 FAIRFAX BLVD
FAIRFAX, VA 22030
Phone number: 703-679-1876
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Mailing Address
NICOL LYNN SCHWANDT PA
PO BOX 758963
BALTIMORE, MD 21275-8963
Phone number: 804-968-5700
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