Individual
CRYSTAL GILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
30 E APPLE ST, SUITE 5254A, DAYTON, OH 45409-2939
(937) 208-4200
Mailing address
1079 RAINBOW TRL, MILFORD, OH 45150-2010
(513) 479-0808
Taxonomy
Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
2015004617
OH
Other
Enumeration date
07/21/2015
Last updated
08/18/2015
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