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1649906454
MARISA WONG
FAIRFAX, VA
NPI
1649906454
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024177055)
Enumeration Date
2022-07-26
Last Update Date
2022-08-10
Business Address
MARISA WONG FNP
2710 PROSPERITY AVE STE 200
FAIRFAX, VA 22031-4358
Phone number: 703-280-2841
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Mailing Address
MARISA WONG FNP
8525 TYSONS CT
VIENNA, VA 22182-5019
Phone number:
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