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Individual

MR. LYLE PURNELL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MSW/LMSW

Contact information

Practice address
100 EMANCIPATION DR BLDG 146, HAMPTON, VA 23667-0001
(757) 722-9961
(757) 728-3392
Mailing address
100 EMANCIPATION DR BLDG 146, HAMPTON, VA 23667-0001
(757) 722-9961
(757) 728-3392

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
LSW0000009075
TN

Other

Enumeration date
01/24/2017
Last updated
01/25/2017
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