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1558002790
KIDIST SURAFEL
ALEXANDRIA, VA
NPI
1558002790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: DC OTA100000204)
Enumeration Date
2022-04-03
Last Update Date
2022-04-03
Business Address
KIDIST SURAFEL COTA/L
5148 WOODMIRE LN
ALEXANDRIA, VA 22311-1301
Phone number: 703-244-1191
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Mailing Address
KIDIST SURAFEL COTA/L
5148 WOODMIRE LN
ALEXANDRIA, VA 22311-1301
Phone number: 703-244-1191
Copy
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