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1376661413
AUTRILLA M GILLIS
LONG BEACH, CA
NPI
1376661413
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
225400000X Rehabilitation Practitioner
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- AUTRILLA M GILLIS
456 ELM AVE
LONG BEACH, CA 90802-2426
Phone number: 562-437-6717
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Mailing Address
-- AUTRILLA M GILLIS
2330 VILLAGE WAY
SIGNAL HILL, CA 90755-5995
Phone number: 562-900-6399
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