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1508631011
ALAZAR KASSA FEDLU
RESTON, VA
NPI
1508631011
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110009519)
Enumeration Date
2023-11-15
Last Update Date
2023-11-15
Business Address
ALAZAR KASSA FEDLU
2260 STONE WHEEL DR APT E
RESTON, VA 20191-3126
Phone number: 571-478-7770
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Mailing Address
ALAZAR KASSA FEDLU
2260 STONE WHEEL DR APT E
RESTON, VA 20191-3126
Phone number: 571-478-7770
Copy
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