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1053434449
JEFFREY STEPHEN EDGE
FAIRFAX, VA
NPI
1053434449
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305001569)
Enumeration Date
2007-04-09
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY STEPHEN EDGE PT
3750 OLD LEE HWY
FAIRFAX, VA 22030-1806
Phone number: 703-246-7150
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Mailing Address
Mr. JEFFREY STEPHEN EDGE PT
14256 STONE CHASE WAY
CENTREVILLE, VA 20121-5020
Phone number: 703-968-5880
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