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1306199526
AHRA KO
FAIRFAX, VA
NPI
1306199526
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: VA 0136000096)
Enumeration Date
2012-10-25
Last Update Date
2022-01-28
Business Address
AHRA KO LSA
12011 LEE JACKSON MEMORIAL HWY STE 501
FAIRFAX, VA 22033
Phone number: 703-349-1379
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Mailing Address
AHRA KO LSA
PO BOX 221135
CHANTILLY, VA 20153-1135
Phone number: 703-349-1379
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