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1073565651
JACQUELINE MELISSA KAY
FAIRFAX, VA
NPI
1073565651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000941)
Enumeration Date
2006-05-16
Last Update Date
2007-07-08
Business Address
-- JACQUELINE MELISSA KAY ATC
4400 UNIVERSITY DR MS 3A5
FAIRFAX, VA 22030-4422
Phone number: 703-993-3279
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Mailing Address
-- JACQUELINE MELISSA KAY ATC
16822 VIA LA COSTA
PACIFIC PALISADES, CA 90272-1970
Phone number: 310-230-2280
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