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1538104138
JOHNATHON CHISUM
FISHERSVILLE, VA
NPI
1538104138
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: VA 0110001268)
Enumeration Date
2006-06-18
Last Update Date
2023-06-22
Business Address
JOHNATHON CHISUM PA
70 MEDICAL CENTER CIR STE 103
FISHERSVILLE, VA 22939-2273
Phone number: 540-245-7400
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Mailing Address
JOHNATHON CHISUM PA
PO BOX 388
FISHERSVILLE, VA 22939-0388
Phone number:
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