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1992724413
ELETHIA V WAMPLER
WOODBRIDGE, VA
NPI
1992724413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305002121)
Enumeration Date
2006-07-18
Last Update Date
2012-09-10
Business Address
-- ELETHIA V WAMPLER
12825 MINNIEVILLE ROAD SUITE 203
WOODBRIDGE, VA 22192-0045
Phone number: 703-971-3701
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Mailing Address
-- ELETHIA V WAMPLER
9455 LORTON MARKET ST
LORTON, VA 22079-1963
Phone number:
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