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1518044924
ANTHONY BARDIA KOUCHAK
FALLS CHURCH, VA
NPI
1518044924
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618000564)
Enumeration Date
2006-11-01
Last Update Date
2020-05-28
Business Address
DR. ANTHONY BARDIA KOUCHAK OD
5701 COLUMBIA PIKE STE C1
FALLS CHURCH, VA 22041-2900
Phone number: 703-671-1400
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Mailing Address
DR. ANTHONY BARDIA KOUCHAK OD
1950 OLD GALLOWS RD STE 520
VIENNA, VA 22182-3970
Phone number: 703-847-8899
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