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1104669449
KENTON WANDASAN
WASHINGTON, DC
NPI
1104669449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
Enumeration Date
2024-06-14
Last Update Date
2024-10-02
Business Address
KENTON WANDASAN PA-C
3800 RESERVOIR RD NW
WASHINGTON, DC 20007-2113
Phone number: 202-444-3700
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Mailing Address
KENTON WANDASAN PA-C
3800 RESERVOIR RD NW
WASHINGTON, DC 20007-2113
Phone number: 202-444-3700
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