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1366914863
JASON LEE BECKENDORF
ROANOKE, VA
NPI
1366914863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110006511)
Enumeration Date
2018-12-20
Last Update Date
2021-08-12
Business Address
JASON LEE BECKENDORF PA-C
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 800-422-8482
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Mailing Address
JASON LEE BECKENDORF PA-C
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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