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1912233651
GREGORY JAMES LIGHT
SOUTH HILL, VA
NPI
1912233651
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
261QP2000X Clinic/Center, Physical Therapy
(Licence: VA 2306001013)
Enumeration Date
2009-10-31
Last Update Date
2009-10-31
Business Address
Mr. GREGORY JAMES LIGHT
400 W 5TH ST
SOUTH HILL, VA 23970-3710
Phone number: 540-305-6869
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Mailing Address
Mr. GREGORY JAMES LIGHT
400 W 5TH ST
SOUTH HILL, VA 23970-3710
Phone number: 540-305-6869
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