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1902311319
LEE JAMES GOTTHARDT
NEWPORT NEWS, VA
NPI
1902311319
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: VA 0024175673)
Enumeration Date
2017-12-07
Last Update Date
2017-12-07
Business Address
LEE JAMES GOTTHARDT
12655 WARWICK BLVD STE B
NEWPORT NEWS, VA 23606-2501
Phone number: 757-595-3570
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Mailing Address
LEE JAMES GOTTHARDT
860 OMNI BLVD STE 303
NEWPORT NEWS, VA 23606-4477
Phone number: 757-232-8769
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