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1184133670
JEFFREY JOSEPH ILLINIK
VIRGINIA BEACH, VA
NPI
1184133670
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Professional Name
JEFFREY JOSEPH ILLINIK
Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110005844)
Enumeration Date
2017-09-27
Last Update Date
2023-01-19
Business Address
JEFFREY JOSEPH ILLINIK Physician assistant
2060 GATOR BLVD
VIRGINIA BEACH, VA 23459-8916
Phone number: 757-763-4150
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Mailing Address
JEFFREY JOSEPH ILLINIK Physician assistant
2060 GATOR BLVD
VIRGINIA BEACH, VA 23459-8916
Phone number: 757-763-4150
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