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DR. JAYSON THOMAS FUNICELLO

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DC

Contact information

Practice address
306 ENTERPRISE DR STE B, FOREST, VA 24551-2644
(434) 385-6333
Mailing address
320 RIVERSIDE DR, LYNCHBURG, VA 24503-1319
(434) 326-5761

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
0104556527
VA
111N00000X
Chiropractor
7447
AZ

Other

Enumeration date
02/09/2007
Last updated
12/16/2008
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