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1760985055
STEPHANIE J. DIMATULAC
FAIRFAX, VA
NPI
1760985055
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: VA 2202004476)
Enumeration Date
2018-03-13
Last Update Date
2018-03-13
Business Address
Mrs. STEPHANIE J. DIMATULAC
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031-4511
Phone number: 571-423-4173
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Mailing Address
Mrs. STEPHANIE J. DIMATULAC
8270 WILLOW OAKS CORPORATE DR
FAIRFAX, VA 22031-4511
Phone number: 571-423-4173
Copy
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