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1366969321
JEFFERSON STANLEY GRISCAVAGE
PITTSBURGH, PA
NPI
1366969321
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: 2000032338)
Enumeration Date
2017-08-29
Last Update Date
2018-07-10
Business Address
JEFFERSON STANLEY GRISCAVAGE ATC
3600 FORBES AVE
PITTSBURGH, PA 15213
Phone number: 703-232-9666
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Mailing Address
JEFFERSON STANLEY GRISCAVAGE ATC
10700 HAMPTON RD
FAIRFAX STATION, VA 22039-2745
Phone number: 703-250-1102
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