Individual
CRYSTAL GILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1901 S 1ST ST, TEMPLE, TX 76504-7451
(254) 778-4811
Mailing address
2507 LAGO TRL, KILLEEN, TX 76543-2825
Taxonomy
Speciality
Code
Description
License number
State
246RM2200X
Medical Laboratory Technician
Primary
E1900550
TX
Other
Enumeration date
06/03/2013
Last updated
06/03/2013
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