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Individual

DR. JERRY LEE WEST

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
2521 WILSON BLVD, ARLINGTON, VA 22201-3815
(703) 522-7676
(703) 525-2377
Mailing address
2521 WILSON BLVD, ARLINGTON, VA 22201-3815
(703) 522-7676
(703) 525-2377

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
0618000191
VA

Other

Enumeration date
03/06/2007
Last updated
11/23/2009
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