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1134508179
JONATHAN WATERS
CHESAPEAKE, VA
NPI
1134508179
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110008333)
Enumeration Date
2015-05-22
Last Update Date
2022-10-10
Business Address
Mr. JONATHAN WATERS
1239 CEDAR RD
CHESAPEAKE, VA 23322-7103
Phone number: 757-549-9935
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Mailing Address
Mr. JONATHAN WATERS
643 COLONEL BYRD ST
CHESAPEAKE, VA 23323-1414
Phone number:
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