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1962015750
HANNAH L WALLEN
FAIRFAX, VA
NPI
1962015750
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110007391)
Enumeration Date
2020-08-31
Last Update Date
2022-04-12
Business Address
HANNAH L WALLEN PA
13135 LEE JACKSON MEMORIAL HWY STE 305
FAIRFAX, VA 22033-1909
Phone number: 703-359-8640
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Mailing Address
HANNAH L WALLEN PA
PO BOX 37174
BALTIMORE, MD 21297-3174
Phone number: 571-423-5699
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