COLLEEN L GALLIMORE

LAWTON, OK
NPI1346220415
Former NameCOLLEEN L WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AS0400X Physician Assistant, Surgical
(Licence: OK  APA1505)
Enumeration Date2006-01-17
Last Update Date2008-08-01
Business Address
-- COLLEEN L GALLIMORE PAC
3401 W GORE BLVD
LAWTON, OK 73505
Phone number: 580-357-4339
Mailing Address
-- COLLEEN L GALLIMORE PAC
PO BOX 785
LAWTON, OK 73502
Phone number: 580-357-9984
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