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1225098494
KENNETH R GILLEN
CHICO, CA
NPI
1225098494
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: CA PA15850)
Enumeration Date
2006-03-23
Last Update Date
2019-01-02
Business Address
Mr. KENNETH R GILLEN PA-C
277 COHASSET RD
CHICO, CA 95926-2242
Phone number: 530-872-6650
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Mailing Address
Mr. KENNETH R GILLEN PA-C
5900 N LIBBY RD
PARADISE, CA 95969-4215
Phone number: 530-872-5191
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