Individual
LILLIAN K GILMORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
R.N.
Contact information
Practice address
850 N BONITO ST, FLAGSTAFF, AZ 86001-1580
(928) 773-4032
Mailing address
26 E TRAIL OF THE WOODS ST, FLAGSTAFF, AZ 86001-6723
(928) 380-0549
Taxonomy
Speciality
Code
Description
License number
State
163WS0200X
School Registered Nurse
Primary
166543
AZ
Other
Enumeration date
08/29/2012
Last updated
08/29/2012
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