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1124387253
JASON GRAINER
SPRINGFIELD, VA
NPI
1124387253
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: VA 0810004573)
Enumeration Date
2012-05-09
Last Update Date
2012-05-09
Business Address
-- JASON GRAINER Ph.D.
8134 OLD KEENE MILL RD SUITE 101
SPRINGFIELD, VA 22152-1800
Phone number: 703-569-8731
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Mailing Address
-- JASON GRAINER Ph.D.
8134 OLD KEENE MILL RD SUITE 101
SPRINGFIELD, VA 22152-1800
Phone number: 703-569-8731
Copy
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