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1851333504
JAN JACOB DEKKER
FAIRFAX, VA
NPI
1851333504
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: VA 0101039002)
Enumeration Date
2006-06-10
Last Update Date
2018-01-26
Business Address
Dr. JAN JACOB DEKKER md,phd,facs
8316 ARLINGTON BLVD SUITE 410
FAIRFAX, VA 22031-5207
Phone number: 703-573-6985
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Mailing Address
Dr. JAN JACOB DEKKER md,phd,facs
PO BOX 546
MERRIFIELD, VA 22116-0546
Phone number: 703-573-6985
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