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1407310337
SHANITA LEANNA JEFFERSON
RICHMOND, VA
NPI
1407310337
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
224Y00000X Clinical Exercise Physiologist
Enumeration Date
2019-01-24
Last Update Date
2019-07-14
Business Address
SHANITA LEANNA JEFFERSON R.K.T.
3600 W BROAD ST
RICHMOND, VA 23230-4915
Phone number: 804-585-6723
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Mailing Address
SHANITA LEANNA JEFFERSON R.K.T.
3509 FESTIVAL PARK PLZ
CHESTER, VA 23831-4449
Phone number: 804-621-5462
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