Individual
BILLIE MCGILLIVRAY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
207 FULTON ST, PORT CLINTON, OH 43452-1154
(419) 635-6645
Mailing address
207 FULTON ST, PORT CLINTON, OH 43452-1154
(419) 635-6645
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
09/12/2020
Last updated
09/12/2020
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