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1184771677
ALISON BETH MANTUA
FAIRFAX, VA
NPI
1184771677
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Former Name
ALISON BETH GOLDFARB
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110001075)
Enumeration Date
2007-01-05
Last Update Date
2010-08-26
Business Address
Mrs. ALISON BETH MANTUA PA-C
8503 ARLINGTON BLVD SUITE 310
FAIRFAX, VA 22031-4628
Phone number: 703-208-4200
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Mailing Address
Mrs. ALISON BETH MANTUA PA-C
8503 ARLINGTON BLVD SUITE 310
FAIRFAX, VA 22031-4628
Phone number: 703-208-4200
Copy
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