JERRY VANCE PICKARD

LYNCHBURG, VA
NPI1386039816
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA  0126000726)
Enumeration Date2015-04-01
Last Update Date2015-04-01
Business Address
Prof. JERRY VANCE PICKARD EdD, ATC, LAT
4925 BOONSBORO RD # 190
LYNCHBURG, VA 24503-2240
Phone number: 434-592-3762
Mailing 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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