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Individual

EDWARD LEE GILILLAND

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
H.A.D.

Contact information

Practice address
26880 SIERRA HWY STE C-6, SANTA CLARITA, CA 91321-2228
(661) 253-4514
Mailing address
26880 SIERRA HWY STE C-6, SANTA CLARITA, CA 91321-2228
(661) 253-4514

Taxonomy

Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
Primary
HA6041
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HA0060410
CA
Enumeration date
07/17/2006
Last updated
04/13/2018
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