Individual
MRS. SARAH WAGABI GILLO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
SARAH GILLO
Contact information
Practice address
237 26TH ST, OGDEN, UT 84401-3105
(801) 623-3700
Mailing address
237 26TH ST, OGDEN, UT 84401-3105
(801) 623-3700
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
876000308007
—
UT
Enumeration date
08/06/2013
Last updated
08/06/2013
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