Individual
MRS. ANGELA KAY GILLESPIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.P.N
Contact information
Practice address
1338 COLEGATE DR, MARIETTA, OH 45750-1329
(740) 374-8730
(740) 374-8767
Mailing address
1338 COLEGATE DR, MARIETTA, OH 45750-1329
(740) 374-8730
(740) 374-8767
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
PN113687
OH
Other
Enumeration date
09/17/2015
Last updated
09/17/2015
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