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1477956845
BAWNA NANA
HERNDON, VA
NPI
1477956845
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305208061)
Enumeration Date
2014-09-30
Last Update Date
2014-09-30
Business Address
-- BAWNA NANA
13306 GLEN TAYLOR LN
HERNDON, VA 20171-4047
Phone number: 571-839-9273
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Mailing Address
-- BAWNA NANA
13306 GLEN TAYLOR LN
HERNDON, VA 20171-4047
Phone number:
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