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1205996576
RUSSELL CLARK LIBBY
FAIRFAX, VA
NPI
1205996576
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: VA 0101033734)
Enumeration Date
2006-12-09
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL CLARK LIBBY M.D.
3020 HAMAKER CT SUITE 200
FAIRFAX, VA 22031-2238
Phone number: 703-573-2432
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Mailing Address
Dr. RUSSELL CLARK LIBBY M.D.
1347 LANCIA DR
MCLEAN, VA 22102-2203
Phone number: 703-827-4011
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