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1144879206
NEUROLOGICAL CLINIC, SC
ANNANDALE, VA
NPI
1144879206
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Entity Type
Organization
Authorized Contact
BYUNG H. PARK
President
262-880-5525
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-09-10
Last Update Date
2019-09-10
Business Address
NEUROLOGICAL CLINIC, SC
7700 LITTLE RIVER TPKE STE 605
ANNANDALE, VA 22003-2400
Phone number: 571-620-7159
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Mailing Address
NEUROLOGICAL CLINIC, SC
5525 GREEN BAY RD
KENOSHA, WI 53144-3737
Phone number: 262-657-2060
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