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1518396951
SAMANTHA HANCOCK
FAIRFAX, VA
NPI
1518396951
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110004420)
Enumeration Date
2013-11-06
Last Update Date
2018-11-01
Business Address
SAMANTHA HANCOCK PA-C
10721 MAIN ST STE 200
FAIRFAX, VA 22030-6913
Phone number: 703-325-2620
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Mailing Address
SAMANTHA HANCOCK PA-C
10721 MAIN ST STE 200
FAIRFAX, VA 22030-6913
Phone number: 703-352-2620
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