Individual
GEORGITTE GILMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
24276 166TH STREET, EAGLE BUTTE, SD 57625
(605) 964-7724
Mailing address
24276 166TH STREET, EAGLE BUTTE, SD 57625
Taxonomy
Speciality
Code
Description
License number
State
163WG0000X
General Practice Registered Nurse
Primary
230419
SC
Other
Enumeration date
06/26/2020
Last updated
06/26/2020
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