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1992114342
GREGORY WASSUM
LYNCHBURG, VA
NPI
1992114342
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist
(Licence: VA 2202001223)
Enumeration Date
2014-08-11
Last Update Date
2014-08-11
Business Address
MR. GREGORY WASSUM
2721 GREENHILL LN
LYNCHBURG, VA 24503-2923
Phone number: 434-384-2804
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Mailing Address
MR. GREGORY WASSUM
2721 GREENHILL LN
LYNCHBURG, VA 24503-2923
Phone number:
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