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1750990511
SAMANTHA BLAKESLEE
FAIRFAX, VA
NPI
1750990511
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024179636)
Enumeration Date
2020-07-28
Last Update Date
2020-07-28
Business Address
SAMANTHA BLAKESLEE NP
13031 LEE JACKSON HWY
FAIRFAX, VA 22033-2050
Phone number: 703-378-7550
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Mailing Address
SAMANTHA BLAKESLEE NP
43599 BARRETTS SQ
ASHBURN, VA 20147-7013
Phone number: 585-729-7578
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