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1225073299
JASON PAUL DAVIS
NORFOLK, VA
NPI
1225073299
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2006-06-16
Last Update Date
2007-07-08
Business Address
Mr. JASON PAUL DAVIS IDC
1035 NIDER BLVD SUITE 100
NORFOLK, VA 23521-2701
Phone number: 757-314-7301
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Mailing Address
Mr. JASON PAUL DAVIS IDC
245 LOCUST ST
SUFFOLK, VA 23434-4063
Phone number: 757-846-8029
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