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1700243961
GREGORY LODGE
GLEN ALLEN, VA
NPI
1700243961
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: VA 0001237550)
Enumeration Date
2016-01-19
Last Update Date
2021-05-18
Business Address
Mr. GREGORY LODGE BSN, RN
10299 WOODMAN RD
GLEN ALLEN, VA 23060-4419
Phone number: 804-727-8500
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Mailing Address
Mr. GREGORY LODGE BSN, RN
10299 WOODMAN RD
GLEN ALLEN, VA 23060-4419
Phone number: 804-727-8628
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