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1972120061
MINH PHAN
FAIRFAX, VA
NPI
1972120061
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: VA 2305213549)
Enumeration Date
2020-07-06
Last Update Date
2020-07-06
Business Address
MINH PHAN DPT
10260 MAIN ST
FAIRFAX, VA 22030-2404
Phone number: 571-279-6844
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Mailing Address
MINH PHAN DPT
6463 FRENCHMENS DR
ALEXANDRIA, VA 22312-1657
Phone number:
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