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1295217537
EVAN LICHTENAUER
FAIRFAX, VA
NPI
1295217537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: VA 0104-557487)
Enumeration Date
2018-09-04
Last Update Date
2018-09-04
Business Address
Dr. EVAN LICHTENAUER DC
9649 FAIRFAX BLVD
FAIRFAX, VA 22031-2321
Phone number: 571-406-4102
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Mailing Address
Dr. EVAN LICHTENAUER DC
9649 FAIRFAX BLVD
FAIRFAX, VA 22031-2321
Phone number: 571-406-4102
Copy
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