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Individual

SAMUEL A GILLESPIE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
AU.D.

Contact information

Practice address
17021 LAKESIDE HILLS PLZ STE 202, OMAHA, NE 68130-2390
(402) 758-5327
Mailing address
17021 LAKESIDE HILLS PLZ STE 202, OMAHA, NE 68130-2390
(402) 758-5327

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
1504
KS
231H00000X
Audiologist
170
NE
231H00000X
Audiologist
2200
KS
231H00000X
Audiologist
Primary
348
NE

Other

Enumeration date
01/06/2012
Last updated
05/03/2023
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