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Organization

GLI LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY LEE INSLEY N.D. (DIRECTOR)
(757) 842-6757
Entity
Organization

Contact information

Practice address
1021 EDEN WAY N, 124, CHESAPEAKE, VA 23320-2776
(757) 842-6757
(757) 842-6786
Mailing address
1021 EDEN WAY N, 124, CHESAPEAKE, VA 23320-2776
(757) 842-6757
(757) 842-6786

Taxonomy

Speciality
Code
Description
License number
State
208800000X
Urology Physician
101016018
VA
261Q00000X
Clinic/Center
Primary
101239530
VA

Other

Enumeration date
11/16/2010
Last updated
07/16/2013
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