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Individual

MARK KERLIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
6355 WALKER LN STE 512, ALEXANDRIA, VA 22310-3251
(703) 647-3110
Mailing address
9552 CANNONEER CT APT 203, MANASSAS, VA 20110-7087
(501) 749-2800

Taxonomy

Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary

Other

Enumeration date
10/11/2022
Last updated
10/11/2022
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