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Individual

MR. GREGORY WASSUM

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
2721 GREENHILL LN, LYNCHBURG, VA 24503-2923
(434) 384-2804
Mailing address
2721 GREENHILL LN, LYNCHBURG, VA 24503-2923

Taxonomy

Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
2202001223
VA

Other

Enumeration date
08/11/2014
Last updated
08/11/2014
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