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Individual

BETHANY GILLMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
2195 JENKS AVE, PANAMA CITY, FL 32405-4682
(850) 784-6696
Mailing address
633 E BALDWIN RD, PANAMA CITY, FL 32405-4207
(850) 784-6696

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
ARNP9287624
FL

Other

Enumeration date
02/02/2016
Last updated
06/29/2018
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