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1568488138
MARIE BERNADETTE GASTON DIEZ
FAIRFAX, VA
NPI
1568488138
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0001135171)
Enumeration Date
2006-07-15
Last Update Date
2012-12-19
Business Address
-- MARIE BERNADETTE GASTON DIEZ F.N.P.
8505 ARLINGTON BLVD SUITE 400
FAIRFAX, VA 22031
Phone number: 571-226-5600
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Mailing Address
-- MARIE BERNADETTE GASTON DIEZ F.N.P.
8505 ARLINGTON BLVD SUITE 400
FAIRFAX, VA 22033
Phone number: 571-226-5600
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