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1205608858
JASON PAVELKO
RESTON, VA
NPI
1205608858
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110009614)
Enumeration Date
2023-10-26
Last Update Date
2024-04-11
Business Address
Mr. JASON PAVELKO PA-C
2310 WHITETAIL CT
RESTON, VA 20191-3018
Phone number: 571-334-8651
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Mailing Address
Mr. JASON PAVELKO PA-C
2310 WHITETAIL CT
RESTON, VA 20191-3018
Phone number: 571-334-8651
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