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Individual

MRS. SHARON ELLEN GILLESPIE IV

Active
Sole proprietor

Provider details

NPI number
Gender
F
Credential
CCC-A

Contact information

Practice address
900 WASHINGTON RD, CREDENTIALS OFFICE, KELLER ARMY COMMUNITY HOSPITAL, WEST POINT, NY 10996-1109
(845) 938-8281
(845) 938-6671
Mailing address
CREDENTIALS OFFICE,KLELLER ARMY COMMUNITY HOSPITAL, 900 WASHINGTON RD, WEST POINT, NY 10996-1197
(845) 938-8281
(845) 938-6671

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
001648-1
NY

Other

Enumeration date
06/07/2006
Last updated
07/08/2007
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