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1245697259
MARIE FUANYA
CHANTILLY, VA
NPI
1245697259
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: IL 209014055)
Enumeration Date
2016-01-21
Last Update Date
2016-04-21
Business Address
-- MARIE FUANYA
14121 PARKE LONG CT
CHANTILLY, VA 20151-1647
Phone number: 703-592-2471
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Mailing Address
-- MARIE FUANYA
9053 EWING AVE
EVANSTON, IL 60203-1908
Phone number:
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