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Individual

MR. GEORGE EDWARD ANTHONY JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
2500 POCOSHOCK PL STE 102, NORTH CHESTERFIELD, VA 23235-6345
(804) 562-8705
(804) 800-7931
Mailing address
2500 POCOSHOCK PL STE 102, NORTH CHESTERFIELD, VA 23235-6345
(804) 562-8705

Taxonomy

Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary

Other

Enumeration date
03/04/2024
Last updated
03/04/2024
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