GREGORY DWIGHT GILLIAM

FORT RUCKER, AL
NPI1306162813
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy146L00000X Emergency Medical Technician, Paramedic
(Licence: AL  0200044)
Enumeration Date2010-04-09
Last Update Date2010-04-09
Business Address
-- GREGORY DWIGHT GILLIAM
301 ANDREWS AVE. LYSTER ARMY HEALTH CLINIC
FORT RUCKER, AL 36362
Phone number: 334-255-7387
Mailing Address
-- GREGORY DWIGHT GILLIAM
196 VALLEY VIEW DR
ENTERPRISE, AL 36330-8966
Phone number: 256-244-2010
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