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1982975249
IAN DE VOCHT
FAIRFAX, VA
NPI
1982975249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
246ZC0007X Specialist/Technologist, Other, Surgical Assistant
(Licence: VA 0136000415)
Enumeration Date
2012-01-18
Last Update Date
2022-01-28
Business Address
IAN DE VOCHT
12011 LEE JACKSON MEMORIAL HWY STE 501
FAIRFAX, VA 22033
Phone number: 703-349-1379
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Mailing Address
IAN DE VOCHT
PO BOX 221135
CHANTILLY, VA 20153-1135
Phone number: 703-349-1379
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