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Individual

ANTHONY D GILLESPIE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
17273 STATE ROUTE 104, CHILLICOTHE, OH 45601-9718
(740) 773-1141
Mailing address
506 S MARKET ST, MC ARTHUR, OH 45651-1259
(740) 590-0268

Taxonomy

Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
126551.MEDS-IV
OH

Other

Enumeration date
05/11/2022
Last updated
05/11/2022
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