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1386039816
JERRY VANCE PICKARD
LYNCHBURG, VA
NPI
1386039816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000726)
Enumeration Date
2015-04-01
Last Update Date
2015-04-01
Business Address
Prof. JERRY VANCE PICKARD EdD, ATC, LAT
4925 BOONSBORO RD # 190
LYNCHBURG, VA 24503-2240
Phone number: 434-592-3762
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Mailing Address
Prof. JERRY VANCE PICKARD EdD, ATC, LAT
4925 BOONSBORO RD # 190
LYNCHBURG, VA 24503-2240
Phone number: 434-592-3762
Copy
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