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1467823575
FAIRFAX CLINIC LLC
FALLS CHURCH, VA
NPI
1467823575
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Entity Type
Organization
Authorized Contact
VIET HUU NGUYEN
President
301-613-8124
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: VA 0102204088)
Enumeration Date
2015-10-15
Last Update Date
2015-10-15
Business Address
FAIRFAX CLINIC LLC
6408 SEVEN CORNERS PL STE C
FALLS CHURCH, VA 22044-2011
Phone number: 703-532-1909
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Mailing Address
FAIRFAX CLINIC LLC
6408 SEVEN CORNERS PL STE C
FALLS CHURCH, VA 22044-2011
Phone number: 703-532-1909
Copy
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