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1801404744
CRYSTAL LEE
FAIRFAX, VA
NPI
1801404744
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: VA 0024179648)
Enumeration Date
2020-07-16
Last Update Date
2024-12-18
Business Address
CRYSTAL LEE
10560 MAIN ST STE 310
FAIRFAX, VA 22030-7175
Phone number: 856-313-2521
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Mailing Address
CRYSTAL LEE
24672 PANTZLAFF FARM TER
STERLING, VA 20166-2751
Phone number: 856-313-2521
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