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1295218089
ANDREW JOHN ITUTUD DERKS
ARLINGTON, VA
NPI
1295218089
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110009513)
Enumeration Date
2018-09-08
Last Update Date
2024-09-04
Business Address
ANDREW JOHN ITUTUD DERKS Physician Assistant
200 N GLEBE RD, 316,
ARLINGTON, VA 22203-3755
Phone number: 703-729-3420
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Mailing Address
ANDREW JOHN ITUTUD DERKS Physician Assistant
224-D CORNWALL STREET, NW, SUITE 403
LEESBURG, VA 20176-2704
Phone number: 703-737-6010
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