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1801008172
JASON ERIC GRANDEO
ARLINGTON, VA
NPI
1801008172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251X0800X Physical Therapist, Orthopedic
(Licence: VA 2305202947)
Enumeration Date
2007-05-07
Last Update Date
2007-07-08
Business Address
Mr. JASON ERIC GRANDEO MPT OCS
5130 WILSON BLVD SUITE B-1
ARLINGTON, VA 22205
Phone number: 703-527-9557
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Mailing Address
Mr. JASON ERIC GRANDEO MPT OCS
142 INGLE PL
ALEXANDRIA, VA 22304
Phone number: 703-370-3703
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