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1013994110
PATRICIA L. GILLUM
FORT WORTH, TX
NPI
1013994110
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: TX 221908)
Enumeration Date
2005-12-29
Last Update Date
2007-07-09
Business Address
Ms. PATRICIA L. GILLUM CRNA
1301 PENNSYLVANIA AVE
FORT WORTH, TX 76104-2122
Phone number: 817-882-3680
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Mailing Address
Ms. PATRICIA L. GILLUM CRNA
4245 OAK PARK CT
FORT WORTH, TX 76109-9552
Phone number: 817-923-3366
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