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Organization
UNITED STATES NAVY
Active
Organization
UNITED STATES NAVY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREGORY ALLEN LINEMAN CORPSMAN (IDC)
(757) 763-4059
Entity
Organization
Contact information
Practice address
2220 SCHOFIELD RD, SUITE 200, VIRGINIA BEACH, VA 23459-8838
(757) 763-4059
(757) 492-1640
Mailing address
2220 SCHOFIELD RD, SUITE 200, VIRGINIA BEACH, VA 23459-8838
(757) 763-4059
(757) 492-1640
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
—
NULL
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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