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1245913615
LEO ALPHONSUS SAN JOSE MALINAO
VIENNA, VA
NPI
1245913615
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305215947)
Enumeration Date
2023-08-10
Last Update Date
2023-08-10
Business Address
-- LEO ALPHONSUS SAN JOSE MALINAO PT, DPT
501 CHURCH ST NE STE 105
VIENNA, VA 22180-4734
Phone number: 703-938-8585
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Mailing Address
-- LEO ALPHONSUS SAN JOSE MALINAO PT, DPT
6779 LANTANA DR
BRYANS ROAD, MD 20616-4238
Phone number: 229-366-0666
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