Individual
JORDAN LEE NOUGARET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, ATC, VATL
Contact information
Practice address
132 STANDPIPE ROAD, CULPEPER, VA 22701
(540) 846-8438
Mailing address
132 STANDPIPE ROAD, CULPEPER, VA 22701-3787
(540) 846-8438
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126001299
VA
Other
Enumeration date
02/15/2010
Last updated
06/13/2018
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