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Individual

DR. KREG D GILLMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PH.D.

Contact information

Practice address
2107 W SUNSET BLVD, SUITE 102, SAINT GEORGE, UT 84770-7139
(435) 862-8273
Mailing address
730 COVEY LN, SANTA CLARA, UT 84765-5663
(435) 652-5185

Taxonomy

Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
352902-2501
UT

Other

Enumeration date
04/23/2011
Last updated
04/23/2011
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