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Individual

MR. MARK TEX GILLIGAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
RN

Contact information

Practice address
9044 36TH AVE S, SEATTLE, WA 98118-4804
(575) 520-4199
Mailing address
9044 36TH AVE S, SEATTLE, WA 98118-4804
(575) 520-4199

Taxonomy

Speciality
Code
Description
License number
State
163WE0003X
Emergency Registered Nurse
Primary
RN61418934
WA

Other

Enumeration date
12/30/2025
Last updated
12/30/2025
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