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1114593001
JOHN-JORDAN SHOCKLEY NUNNERY
CHARLOTTESVILLE, VA
NPI
1114593001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-06-01
Last Update Date
2021-06-01
Business Address
JOHN-JORDAN SHOCKLEY NUNNERY MD
1215 LEE ST MAIL STOP 800719
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-2150
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Mailing Address
JOHN-JORDAN SHOCKLEY NUNNERY MD
1215 LEE ST MAIL STOP 800719
CHARLOTTESVILLE, VA 22908-0816
Phone number: 434-924-2150
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