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Individual

TAYLOR LYNN ANDERSEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
8700 SUDLEY RD, MANASSAS, VA 20110-4418
(703) 369-8302
Mailing address
9559 SUNNYSLOPE DR, MANASSAS, VA 20112-2765
(703) 581-3421

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126002523
VA

Other

Enumeration date
01/11/2017
Last updated
01/11/2017
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