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1194011783
VIRGINIA FUNCTIONAL MEDICINE, INC
VIENNA, VA
NPI
1194011783
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Entity Type
Organization
Authorized Contact
KAJ O CHRISTENSEN
VP
703-938-1421
Organization Subpart ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101249229)
Enumeration Date
2011-06-22
Last Update Date
2024-01-18
Business Address
VIRGINIA FUNCTIONAL MEDICINE, INC
410 PINE ST SE SUITE 320
VIENNA, VA 22180-4861
Phone number: 703-938-1421
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Mailing Address
VIRGINIA FUNCTIONAL MEDICINE, INC
410 PINE ST SE SUITE 320
VIENNA, VA 22180-4861
Phone number: 703-938-1421
Copy
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