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1023701927
JARED WATERS
ROANOKE, VA
NPI
1023701927
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110009479)
Enumeration Date
2023-05-29
Last Update Date
2023-08-17
Business Address
JARED WATERS
5673 AIRPORT RD
ROANOKE, VA 24012-1119
Phone number: 540-523-8080
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Mailing Address
JARED WATERS
3111 GRAYLAND AVE
RICHMOND, VA 23221-3527
Phone number:
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