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Organization
SQUADRON HEALTH ENTERPRISES, LLC
Active
Organization
SQUADRON HEALTH ENTERPRISES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SARAH J DONOVAN (CEO)
(202) 746-6136
Entity
Organization
Contact information
Practice address
10602 ALLENWOOD LN, GREAT FALLS, VA 22066-3229
(202) 262-0748
Mailing address
11110 SUNSET HILLS RD UNIT 8124, RESTON, VA 20195-8091
(202) 746-6136
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
NULL
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
04/03/2020
Last updated
04/03/2020
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