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1144972175
THANIDA AMPAI
FAIRFAX, VA
NPI
1144972175
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: VA 0019015770)
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
THANIDA AMPAI
12878 FAIR BRIAR LN
FAIRFAX, VA 22033-3854
Phone number: 703-457-0674
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Mailing Address
THANIDA AMPAI
12878 FAIR BRIAR LN
FAIRFAX, VA 22033-3854
Phone number: 703-457-0674
Copy
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