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Individual

MR. GABRIEL JOHN ILLES III

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT, PT

Contact information

Practice address
3701 WADE COBLE DR, BURLINGTON, NC 27215-9743
(336) 538-1500
Mailing address
3701 WADE COBLE DR, BURLINGTON, NC 27215-9743

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
P15135
NC

Other

Enumeration date
03/06/2018
Last updated
03/06/2018
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