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Individual

CHRIS GOLLUB

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
3945 DOE RUN RD, NORTH PRINCE GEORGE, VA 23860-8771
(804) 898-5946
Mailing address
1030 FLORIDA AVE, LYNCHBURG, VA 24504-4809
(804) 898-5946

Taxonomy

Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
VA

Other

Enumeration date
08/04/2022
Last updated
08/04/2022
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