LESLIE SHANE GILLIAM

STEPHENVILLE, TX
NPI1073580916
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy207Q00000X Family Medicine
(Licence: TX  L7278)
Enumeration Date2006-02-28
Last Update Date2016-12-09
Business Address
-- LESLIE SHANE GILLIAM MD
205 E FREY ST STE 201
STEPHENVILLE, TX 76401-2600
Phone number: 254-965-2313
Mailing Address
-- LESLIE SHANE GILLIAM MD
205 E FREY ST STE 201
STEPHENVILLE, TX 76401-2600
Phone number: 254-965-2313
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