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1356711535
JEREMY SHIFFLETT
DANVILLE, VA
NPI
1356711535
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110005087)
Enumeration Date
2015-10-01
Last Update Date
2015-10-01
Business Address
-- JEREMY SHIFFLETT PA-C
133 ENTERPRISE DR
DANVILLE, VA 24540-4071
Phone number: 434-792-2907
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Mailing Address
-- JEREMY SHIFFLETT PA-C
542 W MAIN ST
DANVILLE, VA 24541-3600
Phone number: 570-360-7259
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