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1285241554
MARY KACKLEY
ARLINGTON, VA
NPI
1285241554
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024180229)
Enumeration Date
2020-09-30
Last Update Date
2020-09-30
Business Address
MARY KACKLEY
1635 N GEORGE MASON DR STE 170
ARLINGTON, VA 22205-3633
Phone number: 703-894-3800
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Mailing Address
MARY KACKLEY
3040 WILLIAMS DR STE 100
FAIRFAX, VA 22031-4618
Phone number: 703-280-5390
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