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1568667897
ELIZABETH B KANIANTHRA
MANASSAS, VA
NPI
1568667897
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110840327)
Enumeration Date
2007-06-18
Last Update Date
2007-07-08
Business Address
-- ELIZABETH B KANIANTHRA PAC
8640 SUDLEY ROAD SUITE 303
MANASSAS, VA 20110-4404
Phone number: 703-361-7778
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Mailing Address
-- ELIZABETH B KANIANTHRA PAC
8640 SUDLEY ROAD SUITE 303
MANASSAS, VA 20110-4404
Phone number: 703-361-7778
Copy
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