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Individual

JACLYN ANN LANGFORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2900 LAMB CIR, CHRISTIANSBURG, VA 24073-6344
(540) 731-2802
Mailing address
213 S JEFFERSON ST STE 1006, ROANOKE, VA 24011-1713
(540) 224-5352

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
216444
NC
367500000X
Certified Registered Nurse Anesthetist
Primary
0024186458
VA
367500000X
Certified Registered Nurse Anesthetist
100960
NC

Other

Enumeration date
07/25/2013
Last updated
04/20/2023
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