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Organization
NOVA FUNCTIONAL SPORTS CHIROPRACTIC LLC
Active
Organization
NOVA FUNCTIONAL SPORTS CHIROPRACTIC LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JANE ELLEN PAVALKIS DC (DOCTOR OF CHIROPRACTIC)
(315) 577-2427
Entity
Organization
Contact information
Practice address
44645 GUILFORD DR STE 211, ASHBURN, VA 20147-6020
(315) 577-2427
Mailing address
44645 GUILFORD DR STE 211, ASHBURN, VA 20147-6020
(703) 831-7036
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
—
—
Other
Enumeration date
05/20/2021
Last updated
06/07/2022
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