Individual
MRS. MARY E. GILLIGAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
360 PEAK ONE DRIVE, SUITE 190, FRISCO, CO 80443
(970) 668-6980
Mailing address
321 VAIL CIR, DILLON, CO 80435-8309
(970) 468-0430
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
AA237677
CO
Other
Enumeration date
06/11/2010
Last updated
06/11/2010
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