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1912004862
GREGORY JAMES CRADDOCK
ALEXANDRIA, VA
NPI
1912004862
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
204D00000X Neuromusculoskeletal Medicine & OMM
(Licence: VA 0102201175)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
-- GREGORY JAMES CRADDOCK do
1225 MARTHA CUSTIS DR STE C-7
ALEXANDRIA, VA 22302-2000
Phone number: 703-998-6760
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Mailing Address
-- GREGORY JAMES CRADDOCK do
1225 MARTHA CUSTIS DR STE C-7
ALEXANDRIA, VA 22302-2000
Phone number: 703-998-6760
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