Individual
AUSTIN DANIEL GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
48745 3 POINTS RD, LAKE HUGHES, CA 93532-1122
(866) 402-8801
Mailing address
36481 EAGLE LN, BEAUMONT, CA 92223-8007
(909) 557-3529
Taxonomy
Speciality
Code
Description
License number
State
246Z00000X
Other Specialist/Technologist
Primary
—
—
Other
Enumeration date
02/28/2020
Last updated
02/28/2020
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