LACEY REBECCA DUNGAN

FAIRFAX, VA
NPI1235596420
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126002412)
Enumeration Date2016-01-20
Last Update Date2016-01-20
Business Address
-- LACEY REBECCA DUNGAN ATC
10523 MAIN ST
FAIRFAX, VA 22030-3310
Phone number: 703-380-8141
Mailing Address
-- LACEY REBECCA DUNGAN ATC
4220 RALEIGH AVE APT 202
ALEXANDRIA, VA 22304-5338
Phone number: 610-348-8995
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