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1104906882
CHUNG WAN HAN
ANNANDALE, VA
NPI
1104906882
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2300X Clinic/Center, Primary Care
(Licence: VA 0101052584)
Enumeration Date
2006-10-16
Last Update Date
2007-07-08
Business Address
-- CHUNG WAN HAN
7201 BYRNELEY LN
ANNANDALE, VA 22003-6015
Phone number: 703-354-9222
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Mailing Address
-- CHUNG WAN HAN
5105 BACKLICK ROAD SUITE C
ANNANDALE, VA 22003
Phone number:
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