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1518625987
ALEXA RAE KULICK
FAIRFAX, VA
NPI
1518625987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110008424)
Enumeration Date
2021-12-02
Last Update Date
2023-03-07
Business Address
ALEXA RAE KULICK
3903 FAIR RIDGE DR STE 218
FAIRFAX, VA 22033-2945
Phone number: 703-405-7292
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Mailing Address
ALEXA RAE KULICK
3903 FAIR RIDGE DR STE 218
FAIRFAX, VA 22033-2945
Phone number: 703-870-3750
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