Individual
CASEY LORRAINE GILLIGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
783 PULLMAN CIR, SAINT AUGUSTINE, FL 32084-6597
(303) 883-0207
Mailing address
783 PULLMAN CIR, SAINT AUGUSTINE, FL 32084-6597
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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