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1902876931
MARK ALAN GELLASCH
NORFOLK, VA
NPI
1902876931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: VA 0110000034)
Enumeration Date
2006-01-24
Last Update Date
2007-07-08
Business Address
-- MARK ALAN GELLASCH Physician Assistant
BRANCH MEDICAL CLINIC NORFOLK 1721 TAUSSIG BLVD
NORFOLK, VA 23511
Phone number: 757-314-6377
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Mailing Address
-- MARK ALAN GELLASCH Physician Assistant
2753 SANDPIPER RD
VIRGINIA BEACH, VA 23456-4516
Phone number: 757-426-7700
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