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Individual

AMY MICHELLE SHEEDFAR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
700 BENNETT ST, HERNDON, VA 20170-3104
(703) 810-2327
Mailing address
43302 MARYMOUNT TER, #200, ASHBURN, VA 20147-3402
(703) 726-4975

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
0126000159
VA

Other

Enumeration date
01/14/2008
Last updated
01/14/2008
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