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Individual

IRENE LYDIA GILLILAND

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
APRN

Contact information

Practice address
5224 75TH ST, STE D, LUBBOCK, TX 79424-2523
(806) 771-0995
(806) 771-3813
Mailing address
PO BOX 54136, LUBBOCK, TX 79453-4136
(806) 771-1386
(806) 771-1388

Taxonomy

Speciality
Code
Description
License number
State
364SM0705X
Medical-Surgical Clinical Nurse Specialist
Primary
AP105151
TX

Other

Enumeration date
01/27/2017
Last updated
01/27/2017
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