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1518370592
IVAN SANTOS MANASAN
HYATTSVILLE, MD
NPI
1518370592
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 24704)
Enumeration Date
2014-06-06
Last Update Date
2023-01-17
Business Address
IVAN SANTOS MANASAN DPT, CSRS, PTRP
4922 LASALLE RD
HYATTSVILLE, MD 20782-3302
Phone number: 301-864-2333
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Mailing Address
IVAN SANTOS MANASAN DPT, CSRS, PTRP
3871 CHAIN BRIDGE RD
FAIRFAX, VA 22030-3903
Phone number: 818-731-3576
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