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1780128744
JIE XU
CHANTILLY, VA
NPI
1780128744
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2016-12-10
Last Update Date
2016-12-10
Business Address
JIE XU
13729 AUTUMN VALE CT
CHANTILLY, VA 20151-3544
Phone number: 571-276-0996
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Mailing Address
JIE XU
13729 AUTUMN VALE CT
CHANTILLY, VA 20151-3544
Phone number: 571-276-0996
Copy
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