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1245989912
JACOB NGUYEN
FAIRFAX, VA
NPI
1245989912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305214846)
Enumeration Date
2022-03-21
Last Update Date
2022-03-21
Business Address
JACOB NGUYEN DPT
10517 BRADDOCK RD STE D
FAIRFAX, VA 22032-2275
Phone number: 571-351-5618
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Mailing Address
JACOB NGUYEN DPT
10517 BRADDOCK RD STE D
FAIRFAX, VA 22032-2275
Phone number: 571-351-5618
Copy
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