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1528251238
DIANA HAVERLACK
WASHINGTON, DC
NPI
1528251238
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305002079)
Enumeration Date
2007-08-26
Last Update Date
2008-01-09
Business Address
-- DIANA HAVERLACK
50 IRVING STREET NW
WASHINGTON, DC 20422-4969
Phone number: 202-745-8000
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Mailing Address
-- DIANA HAVERLACK
PO BOX 337
GREAT FALLS, VA 22066-0337
Phone number:
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