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1962518696
ELAINE K. SOURS
MANASSAS, VA
NPI
1962518696
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401005467)
Enumeration Date
2006-08-23
Last Update Date
2018-08-09
Business Address
ELAINE K. SOURS D.D.S.
8719 PLANTATION LN
MANASSAS, VA 20110
Phone number: 703-369-5544
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Mailing Address
ELAINE K. SOURS D.D.S.
8719 PLANTATION LN
MANASSAS, VA 20110-4506
Phone number: 703-369-5544
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