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Individual

MS. ALEXANDRA FRANCES DEJONG

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MED, ATC

Contact information

Practice address
210 EMMET ST S # 400407, CHARLOTTESVILLE, VA 22903-2455
(434) 924-6184
Mailing address
210 EMMET ST S # 400407, CHARLOTTESVILLE, VA 22903-2455
(434) 924-6184

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
09/10/2015
Last updated
02/09/2018
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