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1528796554
JUSTIN WADDELL DIXON
LYNCHBURG, VA
NPI
1528796554
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: VA 0701011646)
Enumeration Date
2022-08-09
Last Update Date
2022-08-09
Business Address
JUSTIN WADDELL DIXON
2215 LANGHORNE RD
LYNCHBURG, VA 24501-1121
Phone number: 434-948-4831
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Mailing Address
JUSTIN WADDELL DIXON
PO BOX 6316
LYNCHBURG, VA 24505-6316
Phone number: 434-948-4831
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