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Individual

SUSAN L GILILLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
13922 SEAL BEACH BLVD, STE B, SEAL BEACH, CA 90740-5387
(562) 431-1512
(562) 493-2135
Mailing address
5000 CHESHIRE PKWY N, PLYMOUTH, MN 55446-4103
(763) 269-4115
(763) 268-4430

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA5063
CA

Other

Enumeration date
05/10/2007
Last updated
01/19/2011
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