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Individual

CHANDLER CARRA GALLANT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
104 HURST LN APT 202, CHARLOTTESVILLE, VA 22903-6415
(571) 251-0645
Mailing address
7709 MANOR HOUSE DR, FAIRFAX STATION, VA 22039-2217
(571) 251-0645

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
07/17/2025
Last updated
07/17/2025
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