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1871316661
DANETH SO
RESTON, VA
NPI
1871316661
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: VA 0024191706)
Enumeration Date
2024-11-01
Last Update Date
2024-11-01
Business Address
DANETH SO
1860 TOWN CENTER DR STE 260
RESTON, VA 20190-5899
Phone number: 703-662-3359
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Mailing Address
DANETH SO
4253 EXETER DR
DUMFRIES, VA 22025-3107
Phone number:
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