JELANI BACKUS

BRIDGEWATER, VA
NPI1093424970
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2022-11-18
Last Update Date2022-11-18
Business Address
JELANI BACKUS
402 E COLLEGE ST
BRIDGEWATER, VA 22812-1511
Phone number: 540-828-8000
Mailing Address
JELANI BACKUS
402 E COLLEGE ST
BRIDGEWATER, VA 22812-1511
Phone number: 540-828-8000
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