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1639365273
GREGORY S DEACON
MARTINSVILLE, VA
NPI
1639365273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
224P00000X Prosthetist
Enumeration Date
2007-09-18
Last Update Date
2014-05-14
Business Address
Mr. GREGORY S DEACON CP
315 HOSPITAL DR SUITE 104
MARTINSVILLE, VA 24112-1945
Phone number: 276-634-5690
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Mailing Address
Mr. GREGORY S DEACON CP
4338 WILLIAMSON RD NW
ROANOKE, VA 24012-2821
Phone number: 540-366-8287
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