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1578538856
JEFFREY GEORGE PERRY
FAIRFAX, VA
NPI
1578538856
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000166)
Enumeration Date
2006-02-21
Last Update Date
2007-07-08
Business Address
Mr. JEFFREY GEORGE PERRY ATC
5035 SIDEBURN RD ROBINSON HS
FAIRFAX, VA 22032-2637
Phone number: 703-426-6818
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Mailing Address
Mr. JEFFREY GEORGE PERRY ATC
10677 SPRING OAK CT
BURKE, VA 22015-2214
Phone number: 703-426-6818
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