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1770185894
AMENATE IBERAHME
FAIRFAX, VA
NPI
1770185894
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: VA 0202213514)
Enumeration Date
2020-11-13
Last Update Date
2020-11-13
Business Address
AMENATE IBERAHME
13059 FAIR LAKES PARKWAY
FAIRFAX, VA 22033
Phone number: 703-631-4007
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Mailing Address
AMENATE IBERAHME
102 SHEPHERDSON LN NE
VIENNA, VA 22180-4532
Phone number: 404-957-3309
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