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Individual

MR. GARY JEFFRIES

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
NP

Contact information

Practice address
500 HOSPITAL DR, WARRENTON, VA 20186-3027
(540) 349-0595
Mailing address
PO BOX 223323, CHANTILLY, VA 20153-3323
(540) 349-0595
(540) 349-0587

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
0001091836
VA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
007787936
VA
Enumeration date
08/23/2006
Last updated
05/06/2008
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