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1184768475
CHARLES ROBERT GILLAM
ORANGE PARK, FL
NPI
1184768475
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Other Name
BOB GILLAM
Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: FL DN16724)
Enumeration Date
2007-02-19
Last Update Date
2007-07-08
Business Address
Dr. CHARLES ROBERT GILLAM DMD
1695 WELLS RD
ORANGE PARK, FL 32073-6208
Phone number: 904-269-7004
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Mailing Address
Dr. CHARLES ROBERT GILLAM DMD
600 SPARROW BRANCH CIR
JACKSONVILLE, FL 32259-5470
Phone number: 904-230-9571
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