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1760082846
AMBER JACK
LYNCHBURG, VA
NPI
1760082846
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: VA 0701010041)
Enumeration Date
2020-10-28
Last Update Date
2020-10-28
Business Address
AMBER JACK
1000 JEFFERSON ST STE 2C
LYNCHBURG, VA 24504-1724
Phone number: 540-217-6461
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Mailing Address
AMBER JACK
1000 JEFFERSON ST STE 2C
LYNCHBURG, VA 24504-1724
Phone number: 540-217-6461
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