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Individual

DR. NICOLAS JUBERT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
3925 CHAIN BRIDGE RD STE 101, FAIRFAX, VA 22030-3938
(703) 890-2222
Mailing address
3925 CHAIN BRIDGE RD STE 101, FAIRFAX, VA 22030-3938
(703) 890-2222

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104557936
VA
111N00000X
Chiropractor
08002898A
IN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
100185720A
IN
Enumeration date
04/06/2016
Last updated
11/26/2023
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