Shane Gilley

NPI 1447434501 - Military Health Care Provider - 1710I1002X

NPI Details
NPI 1447434501
Gender Male
Enumeration Date 12/26/2007
Last Updated 12/26/2007
Entity Type Individual
Active Over 8 years ago
Practice Location
MSOAG
BLDG 202
CAMP LEJEUNE NC, 28540, US
Phone (910) 449-9264
Fax
Business Location
1104 CLAUDIA CT
JACKSONVILLE NC, 28540-3302, US
Phone (224) 627-3254
Fax
Toxanomy
Taxonomy Code 1710I1002X
License State
License Number
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According to our database, Shane Gilley NPI is 1447434501, taxonomy code is 1710I1002X Shane Gilley physically located at Msoag, Camp Lejeune NC, 28540. NPI Number Shane Gilley has the Individual type.

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1447434501 NPI number is provided on an as is basis without warranty of any kind. 1447434501 is maintained by the National Plan & Provider Enumeration System. The contents of Shane Gilley are for informational purposes only.