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1689187700
WASAMA IDLIBI
WARRENTON, VA
NPI
1689187700
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110005885)
Enumeration Date
2017-11-10
Last Update Date
2017-11-10
Business Address
Ms. WASAMA IDLIBI PA-C
500 HOSPITAL DR
WARRENTON, VA 20186-3027
Phone number: 540-316-5013
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Mailing Address
Ms. WASAMA IDLIBI PA-C
8228 FROG HOLLOW CT
MANASSAS, VA 20111-5259
Phone number: 703-582-3321
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