Individual
DR. CARISSA AILEEN GILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2255 JFK RD, DUBUQUE, IA 52002-2846
(563) 588-8703
(563) 588-8732
Mailing address
218 BEECHER ST, EAST DUBUQUE, IL 61025-1104
(563) 590-2182
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
23679
IA
Other
Enumeration date
05/30/2020
Last updated
05/30/2020
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