Individual
HALEY GILLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
20 S PLUM ST, VERMILLION, SD 57069-3346
(605) 677-3700
Mailing address
20 S PLUM ST, VERMILLION, SD 57069-3346
(605) 677-6700
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
1111
SD
Other
Enumeration date
06/25/2014
Last updated
05/30/2019
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