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1417390048
CJW SPORTS MEDICINE, LLC
NORTH CHESTERFIELD, VA
NPI
1417390048
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Entity Type
Organization
Authorized Contact
HUNTER LEE DURVIN
Practice Manager
804-560-6511
Organization Subpart ?
No
Primary Taxonomy
207QS0010X Family Medicine, Sports Medicine
Enumeration Date
2013-04-13
Last Update Date
2013-04-13
Business Address
CJW SPORTS MEDICINE, LLC
1457 JOHNSTON WILLIS DR
NORTH CHESTERFIELD, VA 23235-4730
Phone number: 804-560-6500
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Mailing Address
CJW SPORTS MEDICINE, LLC
1115 BOULDERS PKWY SUITE 110
NORTH CHESTERFIELD, VA 23225-4067
Phone number: 804-560-6511
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