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1164145280
IDIL A JAMA
ANNANDALE, VA
NPI
1164145280
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
(Licence: VA 3969-001)
Enumeration Date
2022-09-23
Last Update Date
2022-09-23
Business Address
IDIL A JAMA
4609 GUINEA RD
ANNANDALE, VA 22003-3956
Phone number: 703-282-6389
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Mailing Address
IDIL A JAMA
4609 GUINEA RD
ANNANDALE, VA 22003-3956
Phone number: 703-282-6389
Copy
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