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1154483113
JACLYN P GILLIAM
LONGVIEW, TX
NPI
1154483113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: TX AP109416)
Enumeration Date
2006-12-15
Last Update Date
2024-05-02
Business Address
JACLYN P GILLIAM CNM
1761 W LOOP 281
LONGVIEW, TX 75604-2734
Phone number: 903-758-2610
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Mailing Address
JACLYN P GILLIAM CNM
1107 E MARSHALL AVE
LONGVIEW, TX 75601-5602
Phone number: 903-675-8261
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