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1104825355
VICKIE L. GILLMAN
DALLAS, TX
NPI
1104825355
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner Pediatrics
(Licence: TX 438987)
Enumeration Date
2005-07-19
Last Update Date
2008-11-22
Business Address
VICKIE L. GILLMAN PNP
5201 HARRY HINES BLVD MEDICAL STAFF SERVICES
DALLAS, TX 75235-7708
Phone number: 214-590-8006
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Mailing Address
VICKIE L. GILLMAN PNP
PO BOX 660599
DALLAS, TX 75266-0599
Phone number:
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