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1215629100
JB JAMES FAVORITE
CHESAPEAKE, VA
NPI
1215629100
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2083S0010X Preventive Medicine, Sports Medicine
(Licence: VA 2081S0010X)
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
JB JAMES FAVORITE
604 APPALACHIAN CT
CHESAPEAKE, VA 23320-1620
Phone number: 843-231-9865
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Mailing Address
JB JAMES FAVORITE
604 APPALACHIAN CT
CHESAPEAKE, VA 23320-1620
Phone number: 843-231-9865
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