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1154870145
YEN LOGAN
WOODBRIDGE, VA
NPI
1154870145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QV0200X Clinic/Center, VA
(Licence: VA 0202205698)
Enumeration Date
2016-10-01
Last Update Date
2016-10-01
Business Address
-- YEN LOGAN
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192-4644
Phone number: 703-490-8400
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Mailing Address
-- YEN LOGAN
14139 POTOMAC MILLS RD
WOODBRIDGE, VA 22192-4644
Phone number: 703-490-8400
Copy
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