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1336707553
SHANGRI-LA INTEGRATED CLINIC
CENTREVILLE, VA
NPI
1336707553
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Entity Type
Organization
Authorized Contact
CHUNG DO KIM
Director
571-218-2393
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
Enumeration Date
2019-06-03
Last Update Date
2019-06-11
Business Address
SHANGRI-LA INTEGRATED CLINIC
13890 BRADDOCK RD STE 300
CENTREVILLE, VA 20121-2438
Phone number: 571-655-2281
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Mailing Address
SHANGRI-LA INTEGRATED CLINIC
13890 BRADDOCK RD STE 300
CENTREVILLE, VA 20121-2438
Phone number: 571-655-2281
Copy
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