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1871842989
PHENOM SURGICAL LLC
FAIRFAX, VA
NPI
1871842989
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Entity Type
Organization
Authorized Contact
THOMAS LAMONT HEGENS
Owner/CEO
703-659-4557
Organization Subpart ?
No
Primary Taxonomy
208600000X Surgery
Enumeration Date
2012-09-05
Last Update Date
2016-05-16
Business Address
PHENOM SURGICAL LLC
2750 PROSPERITY AVE #120
FAIRFAX, VA 22031-4312
Phone number: 703-659-4557
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Mailing Address
PHENOM SURGICAL LLC
8116 ARLINGTON BLVD #183
FALLS CHURCH, VA 22042-1002
Phone number: 703-659-4557
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