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1114957230
JASON EDWARD FENDER
SALEM, VA
NPI
1114957230
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110001026)
Enumeration Date
2006-07-04
Last Update Date
2011-11-28
Business Address
Mr. JASON EDWARD FENDER PA-C
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
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Mailing Address
Mr. JASON EDWARD FENDER PA-C
1970 ROANOKE BLVD
SALEM, VA 24153-6404
Phone number: 540-982-2463
Copy
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