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Individual
ASHLEA GILLICK
Active
Individual
ASHLEA GILLICK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNP
Taxonomy
Speciality
Code
Description
License number
State
163WC0200X
Critical Care Medicine Registered Nurse
R046824
SD
363LA2200X
Adult Health Nurse Practitioner
Primary
1076983
TX
363LA2200X
Adult Health Nurse Practitioner
CP002115
SD
Other
Enumeration date
07/07/2021
Last updated
05/11/2022
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