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Individual

GINA R GILLILAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RNCWHNP

Contact information

Practice address
800 W JEFFERSON ST, KIRKSVILLE, MO 63501-1443
(660) 626-2036
(660) 626-2038
Mailing address
800 WEST JEFFERSON STREET, KIRKSVILLE, MO 63501-3557
(660) 626-2036
(660) 626-2038

Taxonomy

Speciality
Code
Description
License number
State
363LW0102X
Women's Health Nurse Practitioner
Primary
120873
MO

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
429780414
MO
Enumeration date
12/20/2005
Last updated
06/06/2016
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