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1811321086
JENNIFER VAUGHN LYSENKO
LYNCHBURG, VA
NPI
1811321086
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: VA 0401414414)
Enumeration Date
2013-08-24
Last Update Date
2014-08-08
Business Address
Dr. JENNIFER VAUGHN LYSENKO D.D.S.
1604 GRAVES MILL RD
LYNCHBURG, VA 24502-5174
Phone number: 434-385-7307
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Mailing Address
Dr. JENNIFER VAUGHN LYSENKO D.D.S.
1064 GRAVES MILL RD
LYNCHBURG, VA 24502
Phone number:
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