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1467000836
SARA NICHOLE MINK
VIENNA, VA
NPI
1467000836
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VA 0017146277)
Enumeration Date
2019-08-29
Last Update Date
2019-08-29
Business Address
SARA NICHOLE MINK
8233 OLD COURTHOUSE RD STE 170
VIENNA, VA 22182-3833
Phone number: 703-556-9318
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Mailing Address
SARA NICHOLE MINK
4158 DALE BLVD
WOODBRIDGE, VA 22193-2225
Phone number: 703-680-5959
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