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1346699170
JED GORMAN
ROANOKE, VA
NPI
1346699170
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305210270)
Enumeration Date
2016-06-13
Last Update Date
2016-06-13
Business Address
-- JED GORMAN DPT
7226B WILLIAMSON RD
ROANOKE, VA 24019-4264
Phone number: 540-366-9245
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Mailing Address
-- JED GORMAN DPT
2615 CORNWALLIS AVE SE
ROANOKE, VA 24014-3339
Phone number: 919-695-6554
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