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1912446576
SHABNAM PROPHET
LEESBURG, VA
NPI
1912446576
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Other Name
SHABNAM ASIFI
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110-005674)
Enumeration Date
2017-02-15
Last Update Date
2020-01-23
Business Address
Mrs. SHABNAM PROPHET PA-C
44045 RIVERSIDE PKWY
LEESBURG, VA 20176-5101
Phone number: 703-858-6000
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Mailing Address
Mrs. SHABNAM PROPHET PA-C
44045 RIVERSIDE PKWY
LEESBURG, VA 20176-5101
Phone number: 703-858-6000
Copy
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