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1487654554
JOHN P MAMANA
RESTON, VA
NPI
1487654554
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Professional Name
JOHN PHILIP MAMANA
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: VA 0101021602)
Enumeration Date
2005-07-29
Last Update Date
2010-03-25
Business Address
Dr. JOHN P MAMANA M.D.
12040 S LAKES DR SUITE 205
RESTON, VA 20191-1246
Phone number: 703-230-6990
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Mailing Address
Dr. JOHN P MAMANA M.D.
12040 S LAKES DR SUITE205
RESTON, VA 20191-1246
Phone number: 703-230-6990
Copy
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