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1093441057
IAN ERICKSON
FORT BELVOIR, VA
NPI
1093441057
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2022-08-01
Last Update Date
2022-08-01
Business Address
IAN ERICKSON
9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
Phone number: 910-644-2017
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Mailing Address
IAN ERICKSON
5142 BALLYCASTLE CIR
ALEXANDRIA, VA 22315-5567
Phone number: 910-644-2017
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