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Individual

JULIA NICOLE GILLOW

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
48 TUNNEL RD STE 205, POTTSVILLE, PA 17901-3885
(570) 622-1400
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
(484) 884-0699

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
MA064809
PA
363A00000X
Physician Assistant

Other

Enumeration date
07/26/2023
Last updated
10/17/2023
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