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1215324546
THERESA DEAN
FAIRFAX, VA
NPI
1215324546
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-04-24
Last Update Date
2015-04-24
Business Address
-- THERESA DEAN
3320 JERMANTOWN RD
FAIRFAX, VA 22030
Phone number: 703-584-2300
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Mailing Address
-- THERESA DEAN
12237 FAIRFIELD HOUSE DR APT 307
FAIRFAX, VA 22033-3953
Phone number: 571-241-7218
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