GATSON SERVICE PROVIDER

RICHMOND, VA
NPI1376950865
Entity TypeOrganization
Authorized ContactOPHELIA E GATSON
Pastor
804-398-1204
Organization Subpart ?No
Primary Taxonomy302R00000X Health Maintenance Organization
Enumeration Date2014-07-16
Last Update Date2014-07-16
Business Address
GATSON SERVICE PROVIDER
2902 NOBLE AVE
RICHMOND, VA 23222-3541
Phone number: 804-398-1204
Mailing Address
GATSON SERVICE PROVIDER
2902 NOBLE AVE
RICHMOND, VA 23222-3541
Phone number: 804-398-1204
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