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1265979678
ANNA BONICKY
FAIRFAX, VA
NPI
1265979678
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110-005620)
Enumeration Date
2017-01-23
Last Update Date
2017-01-23
Business Address
ANNA BONICKY PA-C
4094 MAJESTIC LN SUITE 298
FAIRFAX, VA 22033-2104
Phone number: 703-631-1745
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Mailing Address
ANNA BONICKY PA-C
2800 HICKORY ST
ALEXANDRIA, VA 22305-2511
Phone number: 571-217-3070
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