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1962795773
MICHAEL JOSEPH EBLAN
FAIRFAX, VA
NPI
1962795773
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0001X Radiology, Radiation Oncology
(Licence: VA 0101260437)
Enumeration Date
2011-05-26
Last Update Date
2019-07-10
Business Address
MICHAEL JOSEPH EBLAN MD
8081 INNOVATION PARK DR
FAIRFAX, VA 22031-4867
Phone number: 571-472-0606
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Mailing Address
MICHAEL JOSEPH EBLAN MD
9568 KINGS CHARTER DR STE 202
ASHLAND, VA 23005-7955
Phone number: 804-266-8717
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