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Individual

MRS. MARCIA BETH GRADDON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
2445 ARMY NAVY DR STE 300, ARLINGTON, VA 22206-2905
(703) 769-8420
(703) 553-8647
Mailing address
2445 ARMY NAVY DR STE 300, ARLINGTON, VA 22206-2905
(703) 769-8420
(703) 553-8647

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000739
VA

Other

Enumeration date
11/11/2009
Last updated
11/11/2009
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