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1306688155
AMANDA KAY LAVENDER
ASHBURN, VA
NPI
1306688155
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305216560)
Enumeration Date
2024-06-12
Last Update Date
2024-06-12
Business Address
AMANDA KAY LAVENDER DPT
19775 BELMONT EXECUTIVE PLZ STE 125
ASHBURN, VA 20147-7606
Phone number: 571-498-7752
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Mailing Address
AMANDA KAY LAVENDER DPT
19775 BELMONT EXECUTIVE PLZ STE 125
ASHBURN, VA 20147-7606
Phone number: 571-498-7752
Copy
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