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MR. DOUGLAS ALAN JESSUP

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
8242 HAMPTON BLUFF TER, CHESTERFIELD, VA 23832-2036
(804) 301-1259
Mailing address
8242 HAMPTON BLUFF TER, CHESTERFIELD, VA 23832-2036
(804) 301-1259

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
Primary
0001183423
VA

Other

Enumeration date
09/25/2008
Last updated
09/25/2008
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