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1558067942
MUKTAR TRAWALLEY
FALLS CHURCH, VA
NPI
1558067942
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024186489)
Enumeration Date
2023-02-07
Last Update Date
2023-07-20
Business Address
MUKTAR TRAWALLEY
3300 GALLOWS RD
FALLS CHURCH, VA 22042-3300
Phone number: 703-776-6850
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Mailing Address
MUKTAR TRAWALLEY
15685 PALERMO TER
WOODBRIDGE, VA 22191-4289
Phone number: 712-975-9315
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