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1487061016
MICHAEL JOHN GILLIS
AGAWAM, MA
NPI
1487061016
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MA PA5093)
Enumeration Date
2014-07-15
Last Update Date
2014-07-15
Business Address
Mr. MICHAEL JOHN GILLIS PA-C
230 MAIN ST
AGAWAM, MA 01001-1838
Phone number: 413-789-6800
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Mailing Address
Mr. MICHAEL JOHN GILLIS PA-C
230 MAIN ST
AGAWAM, MA 01001-1838
Phone number: 413-789-6800
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