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1437602323
SUSAN FAZILAT
FAIRFAX, VA
NPI
1437602323
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: VA 0024173773)
Enumeration Date
2016-07-27
Last Update Date
2016-11-01
Business Address
-- SUSAN FAZILAT
8505 ARLINGTON BLVD SUITE 330
FAIRFAX, VA 22031-4621
Phone number: 703-645-2234
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Mailing Address
-- SUSAN FAZILAT
8505 ARLINGTON BLVD SUITE 330
FAIRFAX, VA 22031-4621
Phone number:
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