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1730131517
AMY ELIZABETH FAGAN
MIDLOTHIAN, VA
NPI
1730131517
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305204357)
Enumeration Date
2006-05-17
Last Update Date
2010-01-07
Business Address
Ms. AMY ELIZABETH FAGAN D.P.T.
4818 MARKET SQUARE LN
MIDLOTHIAN, VA 23112-4826
Phone number: 804-744-3993
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Mailing Address
Ms. AMY ELIZABETH FAGAN D.P.T.
5301 PROVIDENCE RD SUITE 80
VIRGINIA BEACH, VA 23464-4128
Phone number: 757-467-1900
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