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1750917290
LISA GOLLEY
FORT BELVOIR, VA
NPI
1750917290
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: VA 0001261236)
Enumeration Date
2020-03-17
Last Update Date
2024-01-04
Business Address
LISA GOLLEY NP
9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
Phone number: 571-231-1803
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Mailing Address
LISA GOLLEY NP
9300 DEWITT LOOP
FORT BELVOIR, VA 22060-5285
Phone number: 571-231-1803
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