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1346235843
JULIE B CROCKER
FAIRFAX, VA
NPI
1346235843
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110001036)
Enumeration Date
2005-09-12
Last Update Date
2023-01-12
Business Address
Mrs. JULIE B CROCKER PA
3620 JOSEPH SIEWICK DR STE 100
FAIRFAX, VA 22033-1757
Phone number: 540-892-6217
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Mailing Address
Mrs. JULIE B CROCKER PA
2331 FRANKLIN RD SW
ROANOKE, VA 24014-1111
Phone number: 540-725-1226
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