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1508860289
SARA N GILLIS
ROANOKE, VA
NPI
1508860289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0200X Nurse Practitioner, Pediatrics
(Licence: VA 0001137848)
Enumeration Date
2005-06-09
Last Update Date
2007-07-08
Business Address
-- SARA N GILLIS CPNP
21 HIGHLAND AVE SE STE 100
ROANOKE, VA 24013-2218
Phone number: 540-344-9213
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Mailing Address
-- SARA N GILLIS CPNP
21 HIGHLAND AVE SE STE 100
ROANOKE, VA 24013-2218
Phone number: 540-344-9213
Copy
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