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1255176129
VIGOR INTEGRATIVE WELLNESS LLC
FAIRFAX, VA
NPI
1255176129
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Entity Type
Organization
Authorized Contact
KERNIBA GHONEIM
Owner
888-217-7061
Organization Subpart ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
Enumeration Date
2024-07-01
Last Update Date
2024-07-01
Business Address
VIGOR INTEGRATIVE WELLNESS LLC
10304 EATON PL STE 100
FAIRFAX, VA 22030-2221
Phone number: 888-217-7061
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Mailing Address
VIGOR INTEGRATIVE WELLNESS LLC
10304 EATON PL STE 100
FAIRFAX, VA 22030-2221
Phone number: 888-217-7061
Copy
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