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1215659404
JACQUELYN LOY CANADAY
CHESTER, VA
NPI
1215659404
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: VA 2306601276)
Enumeration Date
2022-09-14
Last Update Date
2022-09-14
Business Address
JACQUELYN LOY CANADAY LPTA
6701 IRONBRIDGE PKWY
CHESTER, VA 23831-1469
Phone number: 804-318-3304
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Mailing Address
JACQUELYN LOY CANADAY LPTA
15466 FOXVALE WAY
MIDLOTHIAN, VA 23112-6535
Phone number: 804-921-9647
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