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1487404158
JONATHAN DAVID AXFORD
ROANOKE, VA
NPI
1487404158
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
JONATHAN DAVID AXFORD MD
1906 BELLEVIEW AVE SE
ROANOKE, VA 24014-1838
Phone number: 540-981-7000
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Mailing Address
JONATHAN DAVID AXFORD MD
2535 MILLER PARK CIR APT C
WINSTON SALEM, NC 27103-1945
Phone number:
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