Individual
MICHELLE D GILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPN
Contact information
Practice address
742 E JACKSON ST, SULLIVAN, IN 47882-1611
(812) 268-4455
Mailing address
742 E JACKSON ST, SULLIVAN, IN 47882-1611
(812) 268-4455
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
27060998A
IN
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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