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Individual

ERIC ALAN GULLY

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
6 CENTRAL AVE, WAILUKU, HI 96793-1703
(808) 244-5541
Mailing address
909 DELREY DR, COLLEGE STATION, TX 77845-5091
(979) 777-5669

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2010
HI

Other

Enumeration date
02/10/2009
Last updated
02/10/2009
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