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1164106654
INDIGO HEALTH VIRGINIA LLC
FAIRFAX, VA
NPI
1164106654
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Entity Type
Organization
Authorized Contact
SAMANTHA DUFLO
Chief Medical Officer
410-601-3991
Organization Subpart ?
No
Primary Taxonomy
261QP2000X Clinic/Center Physical Therapy
Enumeration Date
2023-06-14
Last Update Date
2023-06-14
Business Address
INDIGO HEALTH VIRGINIA LLC
2987 DISTRICT AVE
FAIRFAX, VA 22031-2291
Phone number: 410-601-3991
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Mailing Address
INDIGO HEALTH VIRGINIA LLC
3300 CLIPPER MILL RD STE 200-B
BALTIMORE, MD 21211-2332
Phone number:
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