Individual
AARON CHARLES MARK GILLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
500 W UNIVERSITY ST, SHAWNEE, OK 74804-2522
(580) 512-0119
Mailing address
4311 N POTTENGER AVE, SHAWNEE, OK 74804-1266
(580) 512-0119
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
1095
OK
Other
Enumeration date
05/15/2019
Last updated
05/15/2019
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