Individual
KILEY DANIELLE GABRIEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
663 BROOKSIDE AVE, GALION, OH 44833-3105
(419) 564-7045
Mailing address
663 BROOKSIDE AVE, GALION, OH 44833-3105
(419) 564-7045
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
RN.413704
OH
164W00000X
Licensed Practical Nurse
PN.128065-M-IV
OH
Other
Enumeration date
04/08/2010
Last updated
06/19/2015
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